OrganizationActive
Center for Spine & Sports Rehabilitation PC
NPI 1346439239 · Physical Medicine & Rehabilitation Physician · Indianapolis, IN
Provider details
- NPI number
- 1346439239
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Thelma Green-Mack, President
- License
- 01037601B (IN)
Practice location
3850 Shore Dr Ste 305
Indianapolis, IN 46254-4693
Phone: (317) 920-3220
Fax: (317) 920-3222
Mailing address
3850 Shore Dr Ste 305
Indianapolis, IN 46254-4693
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.