Provider Demographics
NPI:1851562557
Name:ONE 2 ONE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ONE 2 ONE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIVYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAYANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MDT, PT
Authorized Official - Phone:317-577-1744
Mailing Address - Street 1:11780 OLIO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7617
Mailing Address - Country:US
Mailing Address - Phone:317-577-1744
Mailing Address - Fax:317-577-1760
Practice Address - Street 1:11780 OLIO RD STE 200
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7617
Practice Address - Country:US
Practice Address - Phone:317-577-1744
Practice Address - Fax:317-577-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007690A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN234960Medicare PIN