| Jyoti P Kaku, | |
|
1903 Union St, Lafayette, IN 47904-2627 | |
| (765) 447-9431 | |
| Not Available |
| Full Name | Jyoti P Kaku |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1903 Union St, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245747815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 05012775A (Indiana) | Primary |
| Provider Name | Anew Therapy & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225792534 PECOS PAC ID: 8123415312 Enrollment ID: O20220418000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Jyoti P Kaku, 1205 Burberry Ct Apt 201, Lafayette, IN 47905-6546 Ph: (317) 478-4248 | Jyoti P Kaku, 1903 Union St, Lafayette, IN 47904-2627 Ph: (765) 447-9431 |
Pallavi Ram Shinde, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Lori Goebel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1411 S Creasy Ln Ste 100, Lafayette, IN 47905 Phone: 765-447-5552 Fax: 765-449-1054 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Creasy Ln Ste 2160, Lafayette, IN 47905 Phone: 765-607-6918 Fax: 765-421-6610 | |
Mr. Edward Lee Scott, PT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Nichole Schmidt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 N 17th St, Lafayette, IN 47904 Phone: 765-423-6885 | |
Woven Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Dr Ste B, Lafayette, IN 47905 Phone: 765-714-8272 | |
Lowell Straw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 N 17th St, Lafayette, IN 47904 Phone: 765-423-6885 Fax: 765-423-6099 |