Active NPI
Unity Healthcare LLC
- Physical Therapist
- Remington, IN
National Provider Identifier
1164939062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- UNITY HEALTHCARE LLC
- Doing business as
- Miracles Rehabilitation Remington
- Practice address
- 424 W Division Street
Remington, IN 47977 - Phone
- (765) 807-2773
- Fax
- (765) 807-2774
- NPI assigned
- Jan 2, 2018
- Organization subpart
- Yes
- Parent organization
- UNITY HEALTHCARE,LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Dawson
- Title
- Dir of Billing
- Phone
- (765) 446-5417
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IN | Primary | |
| Occupational Therapist | 225X00000X | IN |
Addresses
Primary practice location
424 W Division Street
Remington, IN 47977
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 446-5417
Other practice location 1
514 Wellness Way
Remington, IN 47977-8883
Phone (219) 208-3008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201152530 | Medicaid | IN | |
| 300082826 | Medicaid | IN |
Other names 1
- Miracles Rehabilitation Remington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203001083 | IN | Part B Supplier - Clinic/Group Practice | 0244123362 |
Receives reassigned benefits from 69 practitioners This NPI is an additional NPI on the enrollment Practice locations: Lafayette, IN; West Lafayette, IN; La Fayette, IN; Flora, IN |
National Provider Directory
National Provider Directory- Part of
- Lafayette Surgical Clin
Locations
152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Lafayette, IN
- NPI 1083300602
-
- Chiropractor
- Lafayette, IN
- NPI 1013208701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1164939062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-446-5417",
"fax_number": "765-446-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W DIVISION STREET",
"city": "REMINGTON",
"state": "IN",
"postal_code": "47977",
"telephone_number": "765-807-2773",
"fax_number": "765-807-2774"
}
],
"practiceLocations": [
{
"address_1": "514 Wellness Way",
"address_purpose": "LOCATION",
"city": "Remington",
"state": "IN",
"postal_code": "479778883",
"country_code": "US",
"telephone_number": "219-208-3008",
"fax_number": "219-208-3080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UNITY HEALTHCARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNITY HEALTHCARE,LLC",
"enumeration_date": "2018-01-02",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "DIR OF BILLING",
"authorized_official_telephone_number": "765-446-5417"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201152530",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300082826",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miracles Rehabilitation Remington",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Remington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.