Jacob'S Ladder First Steps Program

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

JACOB'S LADDER FIRST STEPS PROGRAM

Doing business as

Jacob's Ladder Pediatric Rehab Center

Practice address

3325 Willowcreek Rd
Portage, IN 46368-5015

Phone

(219) 763-6858

NPI assigned

May 22, 2008

Organization subpart

Yes

Parent organization

JACOB'S LADDER PEDIATRIC REHAB CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Noel W Frigo

Title

Coo

Phone

(219) 763-6858

Specialties & licenses 5

Addresses

Other names 1

• Jacob's Ladder Pediatric Rehab Center Doing business as

Tax ID family

Jacob'S Ladder Pediatric Rehab Center2 organizations share this tax ID, including this one

Part of

Jacob'S Ladder Pediatric Rehab Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacob'S Ladder Pediatric Rehab Center

  • Physical Therapist
  • Chesterton, IN
  • NPI 1265519151
  NPD tax ID

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1215194626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685015",
            "telephone_number": "219-763-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S LADDER FIRST STEPS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACOB'S LADDER PEDIATRIC REHAB CENTER",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FRIGO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "219-763-6858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob's Ladder Pediatric Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Lynette Izeta
• April Izeta
• J S Midmore MD PC
• Cody James Jackson, PHARMD
• Heather Lee Jackson, CNM, MSN
• David Scott Jardenil, D.D.S.
• Jeffrey R Robertson Inc
• Katherine J Jeffries
• Jasmine Jeronimo
• Johnson Memorial Hospital

• Occupational Therapist in Portage, IN
• Providers in Portage, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.