CROSSROADS REHABILITATION CENTER, INC. (NPI# 1457359838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457359838 |
| Entity Type | Organization |
| Organization Name | CROSSROADS REHABILITATION CENTER, INC. |
| Other Organization Name | EASTER SEALS CROSSROADS |
| Practice Address |
4740 Kingsway Dr Indianapolis IN 46205-1521 |
| Practice Telephone | 3174661000 |
| Practice Fax Number | 3174662000 |
| Mailing Telephone | 3174661000 |
| Mailing Fax Number | 3174662000 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | MR. JAMES PATRICK SANDY (PRESIDENT) |
| Authorized Official Telephone | 3174662015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XR0403X |
Occupational Therapist Specialization: Driving and Community Mobility |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100462120 | 05 |
| Other Name | Type Code |
|---|---|
| Easter Seals Crossroads | Doing Business As Name - Organization |
| Easter Seals Crossroads | Doing Business As Name - Organization |
| Street Address |
4740 KINGSWAY DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188371 | Catherine Mahoney | Developmental Therapist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2020-06-08 |
| 1619520509 | Kassidy R Siewert | Speech-Language Pathologist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2019-07-19 |
| 1942769138 | Kaitlin Anna Laplant | Occupational Therapist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2019-03-18 |
| 1760967483 | Nazneen K Gittham | Physical Therapist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-09-27 |
| 1720562986 | Kirsten Elliott | Developmental Therapist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-09-23 |
| 1922582360 | Katherine Sue Hargreaves | Developmental Therapist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-09-21 |
| 1619454717 | Austin Prior | Behavior Technician | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-07-23 |
| 1225520224 | Addison Gerth | Behavior Technician | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-06-05 |
| 1487144077 | Laura Hedrick | Psychologist | 4740 Kingsway Dr, Indianapolis, IN 46205-1521 | 2018-05-18 |
| 1134627334 | Imen Saadeh | Behavior Technician | 4740 Kingsway Dr, Indianapolis, IN 46205 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134240955 | Indy Rehab & Health Services | Rehabilitation Practitioner | 4082 Pendleton Way, Indianapolis, IN 46226-5224 | 2007-04-02 |
| 1174656565 | Lindsey Lauren Anderson | Rehabilitation Practitioner | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708342 | Pamela Curtis | Rehabilitation Practitioner | 9535 N 1150 W, Redkey, IN 47373-9610 | 2019-12-26 |
| 1063927986 | Chamlee, LLC | Rehabilitation Practitioner | 12242 E 116th St Ste 400, Fishers, IN 46037-9922 | 2017-12-14 |
| 1790227288 | Alexandra Marie Friend | Rehabilitation Practitioner | 407 Charles Dr, Fremont, IN 46737-7615 | 2016-11-15 |
| 1386194975 | Kelly Alexander | Rehabilitation Practitioner | 567 N 5th St # 153, Terre Haute, IN 47809-1903 | 2016-10-07 |
| 1306269311 | Michael Granato | Rehabilitation Practitioner | 14757 Oak Rd, 200, Carmel, IN 46033-8178 | 2014-01-27 |
| 1013216894 | Rehabpro Healthcare Services | Rehabilitation Practitioner | 324 Fox Orchard Run, Fort Wayne, IN 46825-6577 | 2011-03-20 |
| 1619105301 | Frank Bender LLC | Rehabilitation Practitioner | 702 Vigo St, Vincennes, IN 47591-2832 | 2009-07-01 |
| 1033398300 | Heath Hansen | Rehabilitation Practitioner | 9009b Indianapolis Blvd, Highland, IN 46322-2502 | 2007-11-02 |
| 1467655910 | Progressivehealth Aviation Services, LLC | Rehabilitation Practitioner | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2007-06-11 |
| 1356418446 | Carla Patrice Watson | Rehabilitation Practitioner | 730 45th Ave, Munster, IN 46321-2818 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.