Reliance Physical Therapy and Wellness Center Inc

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

Last updated

Nov 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Columbus O Mbachu, DPTNPI 1598105116

Title

President

Phone

(219) 769-6037

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, and the practitioner matching its NPPES authorized official.

• Columbus O Mbachu, DPT

  • Physical Therapist
  • Merrillville, IN
  • NPI 1598105116
  Authorized official Same address or phone

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": []
}

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• Physical Therapy Clinic/Center in Merrillville, IN
• Providers in Merrillville, 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 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.