Provider Demographics
NPI:1891867529
Name:PHYSIOTHERAPY ASSOCIATES INC.
Entity Type:Organization
Organization Name:PHYSIOTHERAPY ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MBA
Authorized Official - Phone:812-372-7023
Mailing Address - Street 1:980 CREEKVIEW DR STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-6600
Mailing Address - Country:US
Mailing Address - Phone:812-372-7023
Mailing Address - Fax:812-372-7027
Practice Address - Street 1:980 CREEKVIEW DR STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6600
Practice Address - Country:US
Practice Address - Phone:812-372-7023
Practice Address - Fax:812-372-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05006745A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000349709OtherANTHEM BCBS NUMBER