Duneland Regional Rehabilitation Inc PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

53000047A Issued in IN

Legal business name

DUNELAND REGIONAL REHABILITATION INC PC

Practice address

16382 Morton PL
Lowell, IN 46356-1388

Phone

(219) 696-5519

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Betsy Silleck Thiel, PTDPT

Title

President Duneland Regional Rehabil

Phone

(219) 696-5519

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1487757019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16382 MORTON PL",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561388",
            "telephone_number": "219-696-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16382 MORTON PL",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561388",
            "telephone_number": "219-696-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNELAND REGIONAL REHABILITATION INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "THIEL",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "SILLECK",
        "authorized_official_title_or_position": "PRESIDENT DUNELAND REGIONAL REHABIL",
        "authorized_official_telephone_number": "219-696-5519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTDPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "53000047A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CH3181",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lowell, IN
• Providers in Lowell, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.