Organization Active NPI

Rehabpro Healthcare Services

  • Rehabilitation Practitioner
  • Fort Wayne, IN
National Provider Identifier
1013216894
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
05008247A Issued in IN
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terence Padrique, PTNPI 1659579563
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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.