Northwest Indiana Therapy Center, LLC

Primary specialty

Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X

License

30003890A Issued in IN

Legal business name

NORTHWEST INDIANA THERAPY CENTER, LLC

Practice address

2635 45TH St
Highland, IN 46322-2902

Phone

(219) 924-3108

Fax

(219) 924-3109

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Teibel

Title

Owner/Administrator

Phone

(219) 924-3108

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275615361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902",
            "telephone_number": "219-924-3108",
            "fax_number": "219-924-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TEIBEL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "219-924-3108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008772A",
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "IN",
            "license": "30003890A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20046112OA",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Rehabilitation Certified Respiratory Therapist in Highland, IN
• Providers in Highland, IN by specialty
• Pulmonary Rehabilitation Certified Respiratory Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.