St Mena Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070009472 Issued in IL

Legal business name

ST MENA THERAPY P.C.

Practice address

9150 Drake Dr
Saint John, IN 46373-9066

Phone

(219) 308-9211

Fax

(219) 558-2052

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Fady ElmalhNPI 1932356441

Title

P.T.

Phone

(219) 308-9211

Specialties & licenses 1

Addresses

Practitioners 1

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

• Fady Elmalh, P.T

  • Physical Therapist
  • Saint John, IN
  • NPI 1932356441
  NPD (past) Authorized official

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1104073618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 DRAKE DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739066",
            "telephone_number": "219-308-9211",
            "fax_number": "219-558-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 DRAKE DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739066",
            "telephone_number": "219-308-9211",
            "fax_number": "219-558-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MENA THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "ELMALH",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "219-308-9211"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070009472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyerra Smith, MA, BCBA
• South Shore Smiles LLC
• St George Rehabilitation Services LLC
• St John Smiles PC
• St Margaret Mercy Healthcare Centers
• St. John Premier Dental
• Katherine Stalbaum, MD
• Michelle Sweeney Stan, LCSW
• Stat Anesthesia Specialists LTD
• Stat Anesthesia Specialists, LTD

• Physical Therapy Clinic/Center in Saint John, IN
• Providers in Saint John, 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 Aug 26, 2008; 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.