Provider Demographics
NPI:1750006599
Name:PHYSICAL THERAPY SOLUTIONS LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SIVAKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:THIRUGNANA
Authorized Official - Suffix:
Authorized Official - Credentials:DSC, DPT
Authorized Official - Phone:219-316-7470
Mailing Address - Street 1:2206 MARY LN
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2358
Mailing Address - Country:US
Mailing Address - Phone:219-316-7470
Mailing Address - Fax:219-386-2505
Practice Address - Street 1:3538 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2246
Practice Address - Country:US
Practice Address - Phone:219-316-7470
Practice Address - Fax:219-386-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300078677Medicaid