Provider Demographics
NPI:1457579328
Name:SEI PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:SEI PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HOEHN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:812-637-6222
Mailing Address - Street 1:23990 STATELINE RD.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025
Mailing Address - Country:US
Mailing Address - Phone:812-637-6222
Mailing Address - Fax:812-637-6225
Practice Address - Street 1:23990 STATELINE RD.
Practice Address - Street 2:SUITE 1
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025
Practice Address - Country:US
Practice Address - Phone:812-637-6222
Practice Address - Fax:812-637-6225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200163540AMedicaid
IN200163540AMedicaid