Individual provider Active NPI

Dimple Singh, PT

  • Physical Therapist
  • Chesterton, IN
National Provider Identifier
1407072580
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007245A Issued in IN
Practice address
425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Phone
(219) 926-9779
Fax
(219) 926-9889
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007245A IN Primary

Addresses

Primary practice location

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

Mailing address

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589
Phone (219) 926-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000644 IN Practitioner - Physical Therapist in Private Practice 9234216623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1590
Phone (219) 926-9779

425 Sand Creek Dr C
Chesterton, IN 46304-1590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007245AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterton Physical Therapy, Inc. Physical Therapist CurrentSince Jul 12, 2008 Accepting new patients
David E Ross, Jr, MD,PC Past Accepting new patients
Healthy Again, Inc. Physical Therapist Past Accepting new patients

Locations

425 Sand Creek Dr
Ste C
Chesterton, IN 46304
Phone (219) 926-9779

320 Dunes Plz
Michigan City, IN 46360
Phone (219) 898-4360

3190 Willowcreek Rd
Ste A
Portage, IN 46368

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1407072580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SAND CREEK DR",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041589",
            "telephone_number": "219-926-9779",
            "fax_number": "219-926-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SAND CREEK DR",
            "address_2": "SUITE C",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041589",
            "telephone_number": "219-926-9779",
            "fax_number": "219-926-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "DIMPLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007245A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.