Provider Demographics
NPI:1992984165
Name:BBB THERAPY, LLC
Entity type:Organization
Organization Name:BBB THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:317-574-1140
Mailing Address - Street 1:70 E 91ST ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1561
Mailing Address - Country:US
Mailing Address - Phone:317-574-1140
Mailing Address - Fax:317-574-1141
Practice Address - Street 1:70 E 91ST ST
Practice Address - Street 2:STE. 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1561
Practice Address - Country:US
Practice Address - Phone:317-574-1140
Practice Address - Fax:317-574-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN234080Medicare PIN