NPIMap

Organization Active NPI

Dynamic Rehabilitation Services PC

  • Physical Therapist
  • Valparaiso, IN
National Provider Identifier
1457513285
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
53000112A Issued in IN
Legal business name
DYNAMIC REHABILITATION SERVICES PC
Practice address
1101 Glendale Blvd
Suite 11
Valparaiso, IN 46383-3767
Phone
(219) 476-0377
Fax
(219) 476-0388
NPI assigned
Jul 2, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mrs. Satish Dolly Phadke, P. T.NPI 1376630897
Title
President
Phone
(219) 476-0377

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 53000112A IN Primary

Addresses

Primary practice location

1101 Glendale Blvd
Suite 11
Valparaiso, IN 46383-3767

Mailing address

1101 Glendale Blvd
Suite 11
Valparaiso, IN 46383-3767
Phone (219) 476-0377

National Provider Directory

National Provider Directory

Locations

1101 Glendale Blvd
#11
Valparaiso, IN 46383
Phone (219) 476-0377

1101 Glendale Blvd
Ste 11
Valparaiso, IN 46383
Phone (219) 476-0377

Practitioners & affiliated clinicians

Practitioners 2

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": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1457513285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "address_2": "SUITE 11",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-476-0377",
            "fax_number": "219-476-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "address_2": "SUITE 11",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-476-0377",
            "fax_number": "219-476-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHABILITATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PHADKE",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "DOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-476-0377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "53000112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.