GLENWILLOW PHYSICAL THERAPY (NPI# 1871555292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871555292 |
| Entity Type | Organization |
| Organization Name | GLENWILLOW PHYSICAL THERAPY |
| Practice Address |
12720 Bent Oak Ct Indianapolis IN 46236-7380 |
| Practice Telephone | 3173459687 |
| Practice Fax Number | 3178238645 |
| Mailing Telephone | 3173459687 |
| Mailing Fax Number | 3178238645 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETH E WATKINS (PRESIDENT) |
| Authorized Official Telephone | 3173459687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05006252A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000377434 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GLENWILLOW PHYSICAL THERAPY, LLC | 8224 Glenwillow Lane # 103, Indianapolis, IN 46278 |
| Street Address |
12720 BENT OAK CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-7380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548380728 | Beth E Watkins | Physical Therapist | 12720 Bent Oak Ct, Indianapolis, IN 46236-7380 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769437 | Jenelle Lynn Sternasty | Physical Therapist | 5823 Lakeland Dr, Indianapolis, IN 46220-4167 | 2020-08-04 |
| 1194217851 | Janelle Mary Snyder | Physical Therapist | 7910 E Washington St Ste 150, Indianapolis, IN 46219-5563 | 2018-05-30 |
| 1568905354 | Jaimini Khatri | Physical Therapist | 7123 Windsor Lakes Pl, Indianapolis, IN 46237-8313 | 2016-11-28 |
| 1891009981 | Krysia A Arkenau | Physical Therapist | 11050 Presbyterian Dr, Indianapolis, IN 46236-2982 | 2010-07-30 |
| 1093026239 | Laura Marie Durig | Physical Therapist | 8435 Countryside Ct, Indianapolis, IN 46231-3210 | 2010-06-22 |
| 1740508167 | Sharon E Rohyans | Physical Therapist | 7657 Ockley Ln, Indianapolis, IN 46259-5825 | 2010-05-10 |
| 1952595498 | Children's Developmental Stepping Stones, LLC | Physical Therapist | 5665 N Post Rd, Ste 100, Indianapolis, IN 46216-2221 | 2007-08-28 |
| 1467679084 | Laura Michelle Travis | Physical Therapist | 6819 Kingswood Dr, Indianapolis, IN 46256-2343 | 2007-04-18 |
| 1881762813 | Dale Turner | Physical Therapist | 9765 Randall Dr, Suite A, Indianapolis, IN 46280-1816 | 2006-11-30 |
| 1710058995 | Amy L Pegg | Physical Therapist | 907 New Harmony Dr, Indianapolis, IN 46231-2544 | 2006-11-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46236 |
Please comment or provide details below to improve the information on GLENWILLOW PHYSICAL THERAPY.
| 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.