Provider Demographics
NPI:1114020252
Name:HAND SURGERY ASSOCIATES OF INDIANA, INC.
Entity Type:Organization
Organization Name:HAND SURGERY ASSOCIATES OF INDIANA, INC.
Other - Org Name:THE HAND REHABILITATION CENTER OF INDIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHLFING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-471-4339
Mailing Address - Street 1:8501 HARCOURT ROAD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2046
Mailing Address - Country:US
Mailing Address - Phone:317-875-9105
Mailing Address - Fax:317-872-6873
Practice Address - Street 1:8501 HARCOURT ROAD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2046
Practice Address - Country:US
Practice Address - Phone:317-875-9105
Practice Address - Fax:317-872-6873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200063760Medicaid
IN000000179343OtherANTHEM
IN0441770001Medicare NSC
156524Medicare PIN
IN156524Medicare Oscar/Certification
IN200063760AMedicaid