Organization Active NPI

Unity Healthcare LLC

  • Physical Therapist
  • Remington, IN
National Provider Identifier
1164939062
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IN Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
201152530MedicaidIN
300082826MedicaidIN

Other names 1

  • Miracles Rehabilitation Remington Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.