Provider Demographics
NPI:1760020572
Name:TSTAPLETON LLC
Entity Type:Organization
Organization Name:TSTAPLETON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GRINSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-956-7529
Mailing Address - Street 1:4325 BLACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-3109
Mailing Address - Country:US
Mailing Address - Phone:404-956-7529
Mailing Address - Fax:
Practice Address - Street 1:5620 CRAWFORDSVILLE RD STE V
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-3726
Practice Address - Country:US
Practice Address - Phone:404-956-7529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty