Allied Physicians of Michiana, LLC
Organization Active NPI Physical Therapist · South Bend, IN
NPI 1265714778 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1265714778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ALLIED PHYSICIANS OF MICHIANA, LLC
- Practice address
- 6301 University Commons
Suite 430
South Bend, IN 46635-1571 - Phone
- (574) 968-2851
- Fax
- (574) 968-2855
- NPI assigned
- Sep 12, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official
- Name
- Shery Roussarie
- Title
- Ceo
- Phone
- (574) 251-2100
National Provider Directory
- Part of
- Allied Physicians of Michiana LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
6301 University Commons
Suite 430
South Bend, IN 46635-1571
Mailing address
6301 University Commons
Suite 230
South Bend, IN 46635-1571
Phone (574) 251-2100
Other practice location 1
500 Arcade Ave Ste 320
Elkhart, IN 46514-2477
Phone (574) 968-2851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201048070A | Medicaid | IN |
Other providers in South Bend, IN
- Allied Hematology Oncology Associates LLC
- Allied Imaging Center, LLC
- Allied Physicians of Michiana
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
- Allied Physicians of Michiana, LLC
All providers in South Bend, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.