Active NPI
Dynamic Rehabilitation Services PC
- Physical Therapist
- Valparaiso, IN
National Provider Identifier
1457513285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 53000112A
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- President
- Phone
- (219) 476-0377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
1101 Glendale Blvd
Ste 105
Valparaiso, IN 46383
Phone (219) 242-8672
1101 Glendale Blvd
Ste 11
Valparaiso, IN 46383
Phone (219) 476-0377
1101 Glendale Blvd
#11
Valparaiso, IN 46383
Phone (219) 476-0377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Valparaiso, IN
- NPI 1720350846
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.