Organization Active NPI

Reliable Potential Physical Therapy PC

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1407517428
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RELIABLE POTENTIAL PHYSICAL THERAPY PC
Practice address
2505 W 59TH PL
Merrillville, IN 46410-2137
Phone
(219) 805-7102
NPI assigned
Jan 2, 2022
Last updated
Apr 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Vitus Okereke, PTNPI 1235890252
Title
President
Phone
(219) 805-7102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2505 W 59TH PL
Merrillville, IN 46410-2137

Mailing address

2505 W 59TH PL
Merrillville, IN 46410-2137
Phone (219) 805-7102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1407517428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W 59TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102137",
            "telephone_number": "219-805-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W 59TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102137",
            "telephone_number": "219-805-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE POTENTIAL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "VITUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-805-7102",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.