Organization Active NPI

Bethel Rehabilitation Services LLC

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1184714594
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005347A Issued in IN
Legal business name
BETHEL REHABILITATION SERVICES LLC
Practice address
3111 W 60TH Dr
Merrillville, IN 46410-2226
Phone
(219) 980-2774
Fax
(219) 980-2779
NPI assigned
Oct 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Benedicta Bosede Ohiani-Jegede, PTNPI 1356515621
Title
Physical Therapist
Phone
(219) 980-2774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 05005347A IN Primary

Addresses

Primary practice location

3111 W 60TH Dr
Merrillville, IN 46410-2226

Mailing address

3111 W 60TH Dr
Merrillville, IN 46410-2226
Phone (219) 980-2774

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184714594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W 60TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102226",
            "telephone_number": "219-980-2774",
            "fax_number": "219-980-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W 60TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102226",
            "telephone_number": "219-980-2774",
            "fax_number": "219-980-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OHIANI-JEGEDE",
        "authorized_official_first_name": "BENEDICTA",
        "authorized_official_middle_name": "BOSEDE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "219-980-2774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005347A",
            "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 Aug 22, 2020; 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.