Individual provider · Type 1 NPI

Sivaprasad Parnam, PT

Nursing Facility/Intermediate Care Facility · West Lafayette Bra, IN

NPI number 1164529715 Active

Practice location

3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222

Call (765) 463-1541 Map

Mailing address

2601 Soldiers Home Rd
West Lafayette Bra, IN 47906-1653

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	028303 (NY)
Nursing Facility/Intermediate Care Facility Primary	313M00000X	05009075A (IN)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1164529715

Sivaprasad Parnam, PT's National Provider Identifier is 1164529715, issued on Sep 17, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in West Lafayette Bra, IN. The record was last updated on Sep 11, 2025.