PHYSICAL THERAPY, INC (NPI# 1578597654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578597654 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY, INC |
| Other Organization Name | AVON PHYSICAL THERAPY |
| Practice Address |
7114 Galen Dr W Ste 200 Avon IN 46123-8658 |
| Practice Telephone | 3172729700 |
| Practice Fax Number | 3172729200 |
| Mailing Telephone | 3172729700 |
| Mailing Fax Number | 3172729200 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | MR. RICHARD G WEBER (OWNER) |
| Authorized Official Telephone | 3172729700 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
05000640A | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avon Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | PHYSICAL THERAPY, INC. | 1932 N Broadway, Poteau, OK 74953 |
| Street Address |
7114 GALEN DR W STE 200 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700221371 | Dynamic Health Physical Therapy | Clinic/Center | 35 Tower Lane, Suite 110, Avon, CT 06001-4237 | 2013-05-08 |
| 1740475441 | Richard G Weber | Clinic/Center | 7114 Galen Dr W, Suite 200, Avon, IN 46123-8658 | 2007-09-06 |
| 1194851444 | Brian Albert Magna Sr. | Clinic/Center | 302 W. Main Street, Suite 152, Avon, CT 06001 | 2007-02-23 |
| 1396162095 | Cleveland Clinic Foundation | Clinic/Center | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2014-03-20 |
| 1407272560 | Cleveland Clinic | Clinic/Center | 33100 Cleveland Clinic Blvd, Avw1-pt, Avon, OH 44011 | 2014-03-13 |
| 1609125137 | Megan Lease | Clinic/Center | 301 Satoril Pkwy, Avon, IN 46123-6406 | 2012-08-30 |
| 1174852479 | Allstar Therapy, LLC | Clinic/Center | 51 E Main St, Avon, CT 06001-3821 | 2009-12-15 |
| 1548411234 | Magna Physical Therapy & Golf Medicine Center, LLC | Clinic/Center | 302 W Main St, Suite 204, Avon, CT 06001-3681 | 2008-10-01 |
| 1447435052 | Mountain Physical Therapy and Sports Medicine, LLC | Clinic/Center | 31 Ensign Dr, A, Avon, CT 06001-3773 | 2008-01-02 |
| 1184775827 | Keith Mccarroll | Clinic/Center | 100 W. Beaver Creek Blvd, 204, Avon, CO 81620 | 2007-01-16 |
| Find all providers in AVON | ||||
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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.