TLC Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

05008269A Issued in IN

Legal business name

TLC PHYSICAL THERAPY, LLC

Practice address

970 Millpond Rd Ste a
Valparaiso, IN 46385-6273

Phone

(219) 707-5470

Fax

(219) 707-5413

NPI assigned

Mar 12, 2017

Organization subpart

No

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

Authorized official

Name

Tracy L Campbell, PTNPI 1275573511

Title

Owner/PT

Phone

(219) 916-9176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Lee Campbell, PT

  • Physical Therapist
  • Valparaiso, IN
  • NPI 1275573511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1295276152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 MILLPOND RD",
            "address_2": "SUITE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856273",
            "telephone_number": "219-707-5470",
            "fax_number": "219-707-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MILLPOND RD STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856273",
            "telephone_number": "219-707-5470",
            "fax_number": "219-707-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2556 Naples Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463857055",
            "country_code": "US",
            "telephone_number": "219-241-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TLC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-12",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "219-916-9176",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05008269A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thurner, DPT
• Tikiri Ratnayake M.D., Inc.
• Tim Whestel MD
• Karen Lee Titcomb, M.S. CCCSLP
• Titus Chiropractic PC
• Carol RV Todd, MA, LMHC
• Toennies Therapy Services
• Together Homecare of Northwest Indiana LLC
• Alexander Tokarski
• Madison Lee Tomblin

• Orthopedic Physical Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Orthopedic Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.