Active NPI
Rehabpro Healthcare Services
- Rehabilitation Practitioner
- Fort Wayne, IN
National Provider Identifier
1013216894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 05008247A
- Legal business name
- REHABPRO HEALTHCARE SERVICES
- Practice address
- 324 Fox Orchard Run
Fort Wayne, IN 46825-6577 - Phone
- (260) 580-1350
- Fax
- (260) 490-7690
- NPI assigned
- Mar 20, 2011
- Last updated
- Mar 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terence Padrique, PT
- Title
- Administrator
- Phone
- (260) 580-1350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 05008247A | IN | Primary |
Addresses
Primary practice location
324 Fox Orchard Run
Fort Wayne, IN 46825-6577
Mailing address
324 Fox Orchard Run
Fort Wayne, IN 46825-6577
Phone (260) 580-1350
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1659579563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300579200000",
"number": "1013216894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 FOX ORCHARD RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256577",
"telephone_number": "260-580-1350",
"fax_number": "260-490-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 FOX ORCHARD RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256577",
"telephone_number": "260-580-1350",
"fax_number": "260-490-7690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABPRO HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-20",
"last_updated": "2011-03-20",
"status": "A",
"authorized_official_last_name": "PADRIQUE",
"authorized_official_first_name": "TERENCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "260-580-1350",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": "IN",
"license": "05008247A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.