Independence Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDEPENDENCE REHABILITATION, INC.

Practice address

1400 E Pugh Dr Ste 28
Terre Haute, IN 47802-3938

Phone

(812) 232-1776

Fax

(812) 232-3084

NPI assigned

Jan 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jay Heath

Title

Admin

Phone

(812) 232-1776

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Groneman, DPT

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1053957845
  Medicare reassignment Care Compare group NPD
• John Lisman, PT

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1518937135
  Medicare reassignment Care Compare group NPD
• Brett Spears, DPT

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1629965546
  Medicare reassignment Care Compare group NPD
• Leslie Elrod-Suttle, PT

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1356311054
  NPD (past)
• Faith A Hopper, PTA

  • Physical Therapy Assistant
  • Terre Haute, IN
  • NPI 1205055258
  NPD (past)
• Kelly Michelle Maurer, P.T.

  • Physical Therapist
  • Brazil, IN
  • NPI 1093935090
  NPD (past)
• Lois A Nash, PTA

  • Physical Therapy Assistant
  • Terre Haute, IN
  • NPI 1164641114
  NPD (past)
• Kaitlin Williams, PTA

  • Physical Therapy Assistant
  • Terre Haute, IN
  • NPI 1730626276
  NPD (past)
• Susanne Marie Ferro, PT

  • Physical Therapist
  • Spokane, WA
  • NPI 1275626483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1013987726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR STE 28",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023938",
            "telephone_number": "812-232-1776",
            "fax_number": "812-232-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E PUGH DR STE 28",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023938",
            "telephone_number": "812-232-1776",
            "fax_number": "812-232-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "812-232-1776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN LISMAN, RPT",
            "identifier": "1518937135",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUSANNE FERRO, RPT",
            "identifier": "1275626483",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C14205",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAREN CUNNINGHAM, RPT",
            "identifier": "1477523165",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SARAH HEATH, RPT",
            "identifier": "1033189733",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.