Jordan Lakes (NPI# 1962856104, PAC ID# 4587958079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1962856104 |
| PAC ID by PECOS | 4587958079 |
| Professional Enrollment ID | I20160805001302 |
| Full Name | Jordan Lakes |
| Organization Legal Name | INDIANA HOMECARE SERVICES LLC |
| Address |
9320 Priority Way W Dr Premier Homecare of Indiana Indianapolis IN 46240-1437 |
| Phone Number | 3175361731 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 6507089307 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 | 3175361731 | INDIANA HOMECARE SERVICES LLC |
| Organization Legal Name | INDIANA HOMECARE SERVICES LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunitha Thirumala | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Daljeet K Trehan | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Logan J Popp | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Sneha Milan Patel | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Michelle A Whitehouse | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Stacy Leigh Mehaffey | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Yasser G El Kalla | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Indianapolis, IN 46240-1437 |
| Street Address |
9320 PRIORITY WAY W DR PREMIER HOMECARE OF INDIANA |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46240-1437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunitha Thirumala | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Daljeet K Trehan | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Logan J Popp | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Sneha Milan Patel | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Michelle A Whitehouse | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Stacy Leigh Mehaffey | Occupational Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Premier Homecare of Indiana, Indianapolis, IN 46240-1437 |
| Yasser G El Kalla | Physical Therapy | Indiana Homecare Services LLC | 9320 Priority Way W Dr, Indianapolis, IN 46240-1437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George B Smith | Clinical Social Worker | 70 E 91st St, 110 Clinical Counseling Services, Indianapolis, IN 46240-1550 | |
| Debbie Kay Preston | Physical Therapy | 70 E 91st St, 101 Balanced Back and Body Therapy LLC, Indianapolis, IN 46240-1550 | |
| Barbara F Herman | Psychologist, Clinical | 70 E 91st St, Indianapolis, IN 46240-1561 | |
| Carol K Fosso | Allergy/immunology | 70 E 91st St, Suite 204, Indianapolis, IN 46240-1564 | |
| Ingrid Mason | Internal Medicine | 1020 E 86th St, 24a, Indianapolis, IN 46240-1802 | |
| Brenda J Wahl | Optometry | Whitson Vision, PC | 901 E 86th St, Indianapolis, IN 46240-1807 |
| Jessica L Mcvey | Clinical Social Worker | 941 E 86th St, Suite 120, Indianapolis, IN 46240-1842 | |
| Sonya F C Johnson | Dermatology | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1852 | |
| Robert S Mandresh | Podiatry | 931 E 86th St, Suite 102, Indianapolis, IN 46240-1852 | |
| Pamela J Wall | Physician Assistant | Dermatology Associates, P.C. | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1852 |
| Find all physicians in zip 46240 | |||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | INDIANAPOLIS + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Jordan Lakes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.