Provider Demographics
NPI:1093572166
Name:THE TOP THERAPY LLC
Entity Type:Organization
Organization Name:THE TOP THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-309-3624
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:ROLLING PRAIRIE
Mailing Address - State:IN
Mailing Address - Zip Code:46371-0064
Mailing Address - Country:US
Mailing Address - Phone:574-208-3996
Mailing Address - Fax:
Practice Address - Street 1:101 E MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ROLLING PRAIRIE
Practice Address - State:IN
Practice Address - Zip Code:46371-7003
Practice Address - Country:US
Practice Address - Phone:574-208-3996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1336537091Medicaid