Priority Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009661A Issued in IN

Legal business name

PRIORITY REHAB

Practice address

890 E 116TH St
Suite 142
Carmel, IN 46032-3475

Phone

(317) 989-3578

NPI assigned

Jun 8, 2012

Last updated

Sep 24, 2014By 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

Blake Wiseman, DPTNPI 1508121385

Title

Owner

Phone

(317) 989-3578

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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.

• Blake Wiseman, DPT

  • Physical Therapist
  • Carmel, IN
  • NPI 1508121385
  Authorized official Same address or phone

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1407118276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13426 LOST CREEK LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460745836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST",
            "address_2": "SUITE 142",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323475",
            "telephone_number": "317-989-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-989-3578",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009661A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009422A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005549A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002474A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Medical Home
• Primelife Enrichment, Inc.
• Primelife Enrichment, Inc.
• Benjamin Bruce Pringle, RN
• Priority Physicians, Inc.
• Priority Rehab Home Health LLC
• Priority Rehab LLC
• Matthew J Pritchard, PA-C
• Diana Prljevic, OD
• Proaction Diagnostics LLC

• Physical Therapist in Carmel, IN
• Providers in Carmel, 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 24, 2014; 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.