# CROSSROADS REHABILITATION CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Easter Seals Crossroads
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457359838
- **Authorized official:** MR. JAMES PATRICK SANDY (PRESIDENT)
- **Authorized official phone:** (317) 466-2015

## Contact information

- **Practice address:** 4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
- **Practice address phone:** (317) 466-1000
- **Practice address fax:** (317) 466-2000
- **Mailing address:** 4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
- **Mailing address phone:** (317) 466-1000
- **Mailing address fax:** (317) 466-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XR0403X | Driving and Community Mobility Occupational Therapist | — | NULL | — |
| 225XR0403X | Driving and Community Mobility Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 07/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100462120 | — | IN |