Provider Demographics
NPI:1407943665
Name:A WORK IN PROGRESS, LLC
Entity type:Organization
Organization Name:A WORK IN PROGRESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TATIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KORTEPETER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:317-828-2506
Mailing Address - Street 1:4340 STRAWFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-6924
Mailing Address - Country:US
Mailing Address - Phone:317-828-2506
Mailing Address - Fax:317-881-6421
Practice Address - Street 1:4340 STRAWFLOWER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-6924
Practice Address - Country:US
Practice Address - Phone:317-828-2506
Practice Address - Fax:317-881-6421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0200X
IN22003106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN20040444AMedicaid