Provider Demographics
NPI:1164566360
Name:AMERICAN THERAPY GROUP, INC.
Entity Type:Organization
Organization Name:AMERICAN THERAPY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRISE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:317-578-0814
Mailing Address - Street 1:9210 BACKWATER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-4133
Mailing Address - Country:US
Mailing Address - Phone:317-578-0814
Mailing Address - Fax:317-578-0856
Practice Address - Street 1:9210 BACKWATER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4133
Practice Address - Country:US
Practice Address - Phone:317-578-0814
Practice Address - Fax:317-578-0856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health