Provider Demographics
NPI:1124142302
Name:REPATACODO-ALMASRI, APRIL (RPT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:REPATACODO-ALMASRI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:REPATACODO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11412 BAYHILL WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9235
Mailing Address - Country:US
Mailing Address - Phone:317-260-8476
Mailing Address - Fax:
Practice Address - Street 1:5980 W 71ST ST STE 201
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1785
Practice Address - Country:US
Practice Address - Phone:317-388-0800
Practice Address - Fax:317-388-0805
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN050008918A225100000X
NY027876171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist