Provider Demographics
NPI:1265861975
Name:HOPE PT LLC
Entity Type:Organization
Organization Name:HOPE PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:317-656-0959
Mailing Address - Street 1:11852 SOMERSET WAY S
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-3341
Mailing Address - Country:US
Mailing Address - Phone:317-656-0959
Mailing Address - Fax:
Practice Address - Street 1:10412 ALLISONVILLE RD STE 112
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2034
Practice Address - Country:US
Practice Address - Phone:317-288-7763
Practice Address - Fax:317-288-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-03
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy