Incremedical, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

N/A Issued in IN

Legal business name

INCREMEDICAL, LLC

Doing business as

Leap Rehabilitation and Sports Medicine

Practice address

8261 Wicker Ave
Saint John, IN 46373-8878

Phone

(219) 365-1133

Fax

(219) 365-7703

NPI assigned

May 19, 2006

Last updated

Nov 4, 2009By 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

Ann Marshall

Title

Billing Coordinator

Phone

(219) 365-6559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leap Rehabilitation and Sports Medicine Doing business as

Tax ID family

Incremedical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Incremedical

  • Home Health Agency
  • Saint John, IN
  • NPI 1922442151
  NPD tax ID
• Incremedical, LLC

  dba LEAP Rehabilitation & Sports Medicine

  • Physical Therapist
  • Brown Deer, WI
  • NPI 1740548916
  NPD tax ID

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.

• Elaine Michelle Cooper, P.T.

  • Physical Therapist
  • Saint John, IN
  • NPI 1982650222
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1417900457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-6560",
            "fax_number": "219-365-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-1133",
            "fax_number": "219-365-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREMEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "219-365-6559"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leap Rehabilitation and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hook-Superx LLC (CVS Pharmacy #17139)
• Rebecca C Hopkins, RPH
• Megan Marie Hoskin
• In Post Acute Specialists, PC
• Incremedical
• Interventional Pain Management, LTD.
• J.B. Family Counseling Center LLC
• Sara Jackson, DDS
• Dawn Ashley Jezuit, LMHC-A, LAC-A, MA
• Diane Jones, SCHOOL PSYCHOLOGIST

• Physical Therapist in Saint John, IN
• Providers in Saint John, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.