Provider Demographics
NPI:1942323852
Name:STEP N STONE LLC
Entity Type:Organization
Organization Name:STEP N STONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LORETO
Authorized Official - Middle Name:T
Authorized Official - Last Name:BAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:765-453-8855
Mailing Address - Street 1:101 W SOUTHWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3653
Mailing Address - Country:US
Mailing Address - Phone:765-453-8855
Mailing Address - Fax:765-453-8877
Practice Address - Street 1:101 W SOUTHWAY BLVD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3653
Practice Address - Country:US
Practice Address - Phone:765-453-8855
Practice Address - Fax:765-453-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009149A225100000X
IN05004058A225100000X
IN05008893A225100000X
IN05009525A225100000X
IN05004050A225100000X
IN06004485A225200000X
IN31001185A225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200734390AMedicaid
IN200930350Medicaid
IN258880AMedicare PIN
IN258880Medicare PIN