Highway 30 Physical Therapy and Rehabilitation, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HIGHWAY 30 PHYSICAL THERAPY AND REHABILITATION, LLC

Practice address

333 W. 89TH Avenue
Suite W4
Merriville, IN 46410-7050

Phone

(219) 648-2041

Fax

(219) 472-0665

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

John J. Pomponi, DO, FAAOSNPI 1851519771

Title

Owner

Phone

(219) 662-2278

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OSC Physical Therapy, LLC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Orthopaedic Surgical Consultants, PC

  • Pediatric Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1528123007

  Member Of

  NPD member

Locations

Practitioners 2

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

• John Joseph Pomponi, D.O.

  • Orthopaedic Surgery Physician
  • Merrillville, IN
  • NPI 1851519771
  NPD (past) Authorized official
• Robert Michael Newhalfen, D.C.

  • Chiropractor
  • Schererville, IN
  • NPI 1184997496
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1306307178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W. 89TH AVENUE",
            "address_2": "SUITE W4",
            "city": "MERRIVILLE",
            "state": "IN",
            "postal_code": "464107050",
            "telephone_number": "219-648-2041",
            "fax_number": "219-472-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W. 89TH AVENUE",
            "address_2": "SUITE W4",
            "city": "MERRIVILLE",
            "state": "IN",
            "postal_code": "464107050",
            "telephone_number": "219-648-2041",
            "fax_number": "219-472-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHWAY 30 PHYSICAL THERAPY AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "POMPONI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-662-2278",
        "authorized_official_credential": "DO, FAAOS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027182",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSC Physical Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Cline, FNPC
• Gina Celeste Daniele
• Hannan Labs Inc
• Hoosier'S Choice Home Health Services Incorporated
• Jaswinder Singh, PHD

• All providers in Merriville, IN
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.