NPIMap

Organization Active NPI

Reliance Physical Therapy and Wellness Center Inc

  • Physical Therapy Clinic/Center
  • Merrillville, IN
National Provider Identifier
1134564404
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05004975A Issued in IN
Legal business name
RELIANCE PHYSICAL THERAPY AND WELLNESS CENTER INC
Practice address
300 W 80TH PL Ste D
Merrillville, IN 46410-5476
Phone
(219) 769-6037
Fax
(219) 769-6113
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

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

Authorized official

Name
Columbus O Mbachu, DPT
Title
President
Phone
(219) 769-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05004975A IN Primary

Addresses

Primary practice location

300 W 80TH PL Ste D
Merrillville, IN 46410-5476

Mailing address

300 W 80TH PL Ste D
Merrillville, IN 46410-5476
Phone (219) 769-6037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385164800000",
    "number": "1134564404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 80TH PL STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105476",
            "telephone_number": "219-769-6037",
            "fax_number": "219-769-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 80TH PL STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105476",
            "telephone_number": "219-769-6037",
            "fax_number": "219-769-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE PHYSICAL THERAPY AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-11-23",
        "status": "A",
        "authorized_official_last_name": "MBACHU",
        "authorized_official_first_name": "COLUMBUS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-6037",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004975A",
            "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 Nov 23, 2013; 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.