THERAPY ASSOCIATES INC

Provider Demographics

• NPI: 1205885316
• Name: THERAPY ASSOCIATES INC
• Entity type: Organization
• Organization Name: THERAPY ASSOCIATES INC
• Authorized Official - Title/Position: OWNER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JON
• Authorized Official - Middle Name: D
• Authorized Official - Last Name: FRAZIER
• Authorized Official - Credentials: MEDICAL DOCTOR
• Authorized Official - Phone: 812-474-1110
• Mailing Address - Street 1: PO BOX 2368
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46206-2368
• Mailing Address - Country: US
• Mailing Address - Phone: 800-331-9294
• Mailing Address - Fax: 812-471-9282
• Practice Address - Street 1: 700 N BURKHARDT RD
• Practice Address - City: EVANSVILLE
• Practice Address - State: IN
• Practice Address - Zip Code: 47715-2740
• Practice Address - Country: US
• Practice Address - Phone: 812-474-1110
• Practice Address - Fax: 812-474-1303
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-08
• Last Update Date: 2012-02-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2085R0001X	Allopathic & Osteopathic Physicians	Radiology	Radiation Oncology	Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	207RX0202X	Allopathic & Osteopathic Physicians	Internal Medicine	Medical Oncology	Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology	Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	200875500A	Medicaid
IN	200875500D	Medicaid
KY	78902871	Medicaid
IN	100248410	Medicaid
IN	200875500E	Medicaid
KY	65903858	Medicaid
IN	CA0132	Other	RR MEDICARE
IN	200875500C	Medicaid
IN	200875500B	Medicaid
KY	DO1292	Other	RR MEDICARE
KY	78902871	Medicaid
KY	65903858	Medicaid
IN	100248410	Medicaid
KY	00549	Medicare PIN