Extraordinary Rehab Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003716A Issued in IN

Legal business name

EXTRAORDINARY REHAB SERVICES, LLC

Practice address

325 Glastonbury St
Munster, IN 46321-9124

Phone

(219) 308-2265

Fax

(219) 934-9102

NPI assigned

Oct 19, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Naureen Habib, DPT, MHSNPI 1871676387

Title

Manager

Phone

(219) 308-2265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naureen Habib, PT, DPT, MHS

  • Physical Therapist
  • Munster, IN
  • NPI 1871676387
  Medicare reassignment NPD Authorized official
• Katherine Morris Lambert, R.P.T.

  • Physical Therapist
  • Highland, IN
  • NPI 1548562895
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1316029275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GLASTONBURY ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219124",
            "telephone_number": "219-308-2265",
            "fax_number": "219-934-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GLASTONBURY ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219124",
            "telephone_number": "219-308-2265",
            "fax_number": "219-934-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "NAUREEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-308-2265",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT, MHS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Munster, IN
• Providers in Munster, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.