Flexeon Rehabilitation of Cedar Lake, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FLEXEON REHABILITATION OF CEDAR LAKE, LLC

Practice address

13019 Wicker Ave
Ste a
Cedar Lake, IN 46303-9345

Phone

(219) 374-5451

Fax

(219) 374-5512

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

James Judge, PTNPI 1265484406

Title

Owner

Phone

(219) 922-9508

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James D Judge, P.T.

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1265484406
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1063610640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 WICKER AVE",
            "address_2": "STE A",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039345",
            "telephone_number": "219-374-5451",
            "fax_number": "219-374-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13019 WICKER AVE",
            "address_2": "STE A",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039345",
            "telephone_number": "219-374-5451",
            "fax_number": "219-374-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXEON REHABILITATION OF CEDAR LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-922-9508",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Vincent Dieckmann, PSYD
• Brittany Rae Disterheft, OD
• Lisa Antoinette Duffley-Kazmierski, D.T.
• Edgewater Systems for Balanced Living, Inc
• Empower Workforce Solutions LLC
• Ryan Flipse, PT
• Scarlett Rachel Fox, MS,CCC-SLP
• Michelle Gehring
• Gerstenkorn Family Chiropractic, P.C.
• Scott Alan Gerstenkorn, D.C.

• Physical Therapy Clinic/Center in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.