Provider Demographics
NPI:1801891890
Name:HTS OUTPATIENT THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:HTS OUTPATIENT THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-886-5010
Mailing Address - Street 1:1500 AMERICAN WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6478
Mailing Address - Country:US
Mailing Address - Phone:317-886-5010
Mailing Address - Fax:317-886-5025
Practice Address - Street 1:230 WELCOME WAY BLVD W
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-3085
Practice Address - Country:US
Practice Address - Phone:317-697-8345
Practice Address - Fax:317-534-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007586A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200300620AMedicaid
IN156591Medicare Oscar/Certification