Southern Indiana Myofascial Release, LLC
NPI 1801295043 · Rehabilitation Clinic/Center · Paoli, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Indiana Myofascial Release, LLC is a Rehabilitation Clinic/Center organization in Paoli, IN (NPI 1801295043).
Provider details
- NPI number
- 1801295043
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Pardy, Owner(812) 788-1118
- License
- 31005499A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2019-11-02
Frequently asked questions
- What is Southern Indiana Myofascial Release, LLC's NPI number?
- Southern Indiana Myofascial Release, LLC's National Provider Identifier (NPI) is 1801295043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Indiana Myofascial Release, LLC?
- Southern Indiana Myofascial Release, LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Indiana Myofascial Release, LLC located?
- Southern Indiana Myofascial Release, LLC's practice location on file with NPPES is 101 Nw 1st St Ste D, Paoli, IN 47454-1369.
- What is Southern Indiana Myofascial Release, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Indiana Myofascial Release, LLC is (812) 788-1118.
- Does Southern Indiana Myofascial Release, LLC accept Medicare?
- Southern Indiana Myofascial Release, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Indiana Myofascial Release, LLC?
- The authorized official listed on Southern Indiana Myofascial Release, LLC's NPPES record is Brenda Pardy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Indiana Myofascial Release, LLC's NPI active?
- Yes — Southern Indiana Myofascial Release, LLC's NPI (1801295043) is active in the NPPES registry as of the last update on 2019-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.