Provider Type Icon

CROSSROADS REHABILITATION CENTER INC. NPI 1457359838


NPI Information

NPI: 1457359838
Provider Name: CROSSROADS REHABILITATION CENTER, INC.

Doing Business As: EASTER SEALS CROSSROADS

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
4740 KINGSWAY DR
INDIANAPOLIS, IN
ZIP 46205
Phone: (317) 466-1000
Get Directions

CROSSROADS REHABILITATION CENTER, INC. is a rehabilitation practitioner in Indianapolis, IN. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. CROSSROADS REHABILITATION CENTER, INC. NPI is 1457359838. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Easter Seals Crossroads.

The provider's business location address is:

4740 KINGSWAY DR
INDIANAPOLIS, IN
ZIP 46205-521
Phone: (317) 466-1000
Fax: (317) 466-2000

The provider's authorized official is James Patrick Sandy .
The authorized official title is President and has the following contact phone number (317) 466-2015.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 7/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2225100000XPhysical TherapistNo
3225X00000XOccupational TherapistNo
4225XR0403XOccupational TherapistDriving and Community MobilityNo
5235Z00000XSpeech-Language PathologistNo
6103K00000XBehavior AnalystNo
7101YM0800XCounselorMental HealthNo
8225400000XRehabilitation PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1156501MEDICARE PININDIANA
2100462120MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.