Ergonomic Health Solutions

Primary specialty

Ergonomics Physical TherapistTaxonomy code 2251E1200X

License

31000601A Issued in IN

Legal business name

ERGONOMIC HEALTH SOLUTIONS

Practice address

3640 Edison Lakes Pkwy
Suite B
Mishawaka, IN 46545-3472

Phone

(574) 256-6704

Fax

(574) 256-2284

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Lisa J Cotton, MHS, OTR

Title

Ceo

Phone

(574) 256-6704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093866360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15423 ROSCOMMON LN",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465306280",
            "telephone_number": "574-273-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 EDISON LAKES PKWY",
            "address_2": "SUITE B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453472",
            "telephone_number": "574-256-6704",
            "fax_number": "574-256-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERGONOMIC HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-256-6704",
        "authorized_official_credential": "MHS, OTR"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "IN",
            "license": "31000601A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2824963",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.