Organization Active NPI

United Therapy & Sports Medicine

  • Physical Rehabilitation Occupational Therapist
  • Merrillville, IN
National Provider Identifier
1063816262
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
31002378A Issued in IN
Legal business name
UNITED THERAPY & SPORTS MEDICINE
Practice address
6966 Broadway
Merrillville, IN 46410-3696
Phone
(219) 769-0711
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Henry M Akinbobuyi, RPT
Title
Director
Phone
(219) 769-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X 31002378A IN Primary

Addresses

Primary practice location

6966 Broadway
Merrillville, IN 46410-3696

Mailing address

6966 Broadway
Merrillville, IN 46410-3696
Phone (219) 769-0711

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1063816262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103696",
            "telephone_number": "219-769-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6966 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103696",
            "telephone_number": "219-769-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "AKINBOBUYI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-769-0711",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IN",
            "license": "31002378A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.