| Mr Tisha Stine, OTR | |
|
745 N Swope St, Greenfield, IN 46140-1332 | |
| (317) 462-9221 | |
| (317) 462-5076 |
| Full Name | Mr Tisha Stine |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 745 N Swope St, Greenfield, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114182383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31002669A (Indiana) | Primary |
| Provider Name | Theracare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023052339 PECOS PAC ID: 1557322328 Enrollment ID: O20140410002168 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tisha Stine, OTR 6063 E 300 S, Greenfield, IN 46140-9741 Ph: (317) 468-0727 | Mr Tisha Stine, OTR 745 N Swope St, Greenfield, IN 46140-1332 Ph: (317) 462-9221 |
Kristian Vansoest Addington, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 628 N Meridian Rd, Greenfield, IN 46140 Phone: 317-462-7067 | |
Melissa Watson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 888 W New Rd, Greenfield, IN 46140 Phone: 317-468-6100 Fax: 317-468-6122 | |
Joan Siders, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Green Meadows Dr, Greenfield, IN 46140 Phone: 317-462-3311 | |
Genevieve Borror, MS,OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1563 N State St, Greenfield, IN 46140 Phone: 317-467-5700 Fax: 317-467-5701 | |
Timothy Hirons, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1683 Community Way, Greenfield, IN 46140 Phone: 463-290-8001 | |
Pia Shabazz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5430 W Us 40, Greenfield, IN 46140 Phone: 317-894-3301 |