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WORKSPORT REHABILITATION SERVICE NPI 1639270010


NPI Information

NPI: 1639270010
Provider Name: WORKSPORT REHABILITATION SERVICE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2338 N US HIGHWAY 35
LA PORTE, IN
ZIP 46350
Phone: (219) 325-0060
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WORKSPORT REHABILITATION SERVICE is a specialist in La Porte, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WORKSPORT REHABILITATION SERVICE NPI is 1639270010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2338 N US HIGHWAY 35
LA PORTE, IN
ZIP 46350-380
Phone: (219) 325-0060
Fax: (219) 325-9919

The provider's authorized official is Randall Brooks .
The authorized official title is President/owner and has the following contact phone number (219) 325-0060.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist05002570AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000093552OTHERINDIANABC BS PROVIDER NUMBER
2135250MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE PROVIDER NUMBER
3200891110BMEDICAIDINDIANA
46443690001MEDICARE NSCINDIANA
5200240530AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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