NPIMap

Organization Active NPI

Irl Rehab Group LLC

  • Physical Therapist
  • Princeton, IN
National Provider Identifier
1346563186
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007933A Issued in IN
Legal business name
IRL REHAB GROUP LLC
Practice address
325 N Gibson St
Princeton, IN 47670-1813
Phone
(812) 887-9484
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Ivy Kerns, PTNPI 1730372723
Title
Member/ Physical Therapist
Phone
(812) 887-9484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 05007933A IN Primary

Addresses

Primary practice location

325 N Gibson St
Princeton, IN 47670-1813

Mailing address

1071 N Bicknell Rd
Wheatland, IN 47597-8124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1346563186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 N BICKNELL RD",
            "city": "WHEATLAND",
            "state": "IN",
            "postal_code": "475978124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N GIBSON ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701813",
            "telephone_number": "812-887-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRL REHAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "MEMBER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "812-887-9484",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007933A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.