Organization Active NPI

Redeemed Rehabilitative Care Services, Incorporated

Doing business as Redeemed Rehab Care Services

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1245351725
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007247A Issued in IN
Legal business name
REDEEMED REHABILITATIVE CARE SERVICES, INCORPORATED
Doing business as
Redeemed Rehab Care Services
Practice address
7870 Broadway Ste N
Merrillville, IN 46410-5542
Phone
(219) 769-1358
Fax
(219) 769-1383
NPI assigned
Apr 3, 2007
Last updated
May 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Dr. Oladosu Abioye, DPTNPI 1669583217
Title
President
Phone
(219) 769-1358

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 Therapist 225100000X 05007247A IN Primary

Addresses

Primary practice location

7870 Broadway Ste N
Merrillville, IN 46410-5542

Mailing address

P.O. Box 14322
Merrillville, IN 46411-4322
Phone (219) 769-1358

Other identifiers 1

IdentifierTypeStateIssuer
200855540AMedicaidIN

Other names 1

  • Redeemed Rehab Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203000355 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870598832 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

National Provider Directory

National Provider Directory

Locations

60 W 79th Ave
Merrillville, IN 46410
Phone (219) 769-1358

7870 Broadway
Ste N
Merrillville, IN 46410
Phone (219) 769-1358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1245351725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14322",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464114322",
            "telephone_number": "219-769-1358",
            "fax_number": "219-769-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 BROADWAY STE N",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105542",
            "telephone_number": "219-769-1358",
            "fax_number": "219-769-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMED REHABILITATIVE CARE SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "ABIOYE",
        "authorized_official_first_name": "OLADOSU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007247A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeemed Rehab Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2019; 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.