Provider Demographics
NPI:1851003321
Name:LENGAR REHABILITATION AND WELLNESS LLC
Entity Type:Organization
Organization Name:LENGAR REHABILITATION AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LENGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-456-9681
Mailing Address - Street 1:11220 ECHO GROVE CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9074
Mailing Address - Country:US
Mailing Address - Phone:773-456-9681
Mailing Address - Fax:
Practice Address - Street 1:11220 ECHO GROVE CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-9074
Practice Address - Country:US
Practice Address - Phone:773-456-9681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty