Active NPI
Rick Straub
- Physical Therapist
- Osceola, IN
National Provider Identifier
1235960444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009791A
- Practice address
- 1415 Lincolnway W
Osceola, IN 46561-2062 - Phone
- (260) 450-1948
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009791A | IN | Primary |
Addresses
Primary practice location
1415 Lincolnway W
Osceola, IN 46561-2062
Mailing address
1415 Lincolnway W
Osceola, IN 46561-2062
Phone (260) 450-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Inc. | Physical Therapist | Current | Accepting new patients |
| Theracare Inc | Physical Therapist | Current | Accepting new patients |
Locations
9957 Allisonville Rd
Fishers, IN 46038
Phone (317) 841-7005
1415 Lincolnway W
Ste M
Osceola, IN 46561
Phone (574) 607-1122
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Footprints Pediatric Inc
- Rehabilitation Clinic/Center
- Osceola, IN
- NPI 1811165269
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1235960444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 LINCOLNWAY W",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465612062",
"telephone_number": "260-450-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 LINCOLNWAY W",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465612062",
"telephone_number": "260-450-1948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUB",
"first_name": "RICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009791A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.