Active NPI
Rachael Dunlap, PTA
- Physical Therapy Assistant
- Crown Point, IN
National Provider Identifier
1255746418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.003989
- Practice address
- 914 Cypress Pointe Dr Apt A34
Crown Point, IN 46307 - Phone
- (708) 351-5976
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06002898A | IN | |
| Physical Therapy Assistant | 225200000X | 160.003989 | IL | Primary |
Addresses
Primary practice location
914 Cypress Pointe Dr Apt A34
Crown Point, IN 46307
Mailing address
914 Cypress Point Dr Apt A34
Crown Point, IN 46307-5117
Phone (708) 351-5976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.003989 | IL | MD | Physical Therapy Assistant |
| 06002898A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1255746418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 CYPRESS POINT DR APT A34",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075117",
"telephone_number": "708-351-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 CYPRESS POINTE DR APT A34",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "708-351-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "RACHAEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002898A",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.003989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.