Concept Therapy Professional Corporation

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

CONCEPT THERAPY PROFESSIONAL CORPORATION

Practice address

3222 Mishawaka Ave
South Bend, IN 46615-2352

Phone

(574) 255-8730

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Arkadiusz M Debicki, PT

Title

President/Owner

Phone

(574) 255-8730

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Concept Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Concept Therapy Professional Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Elkhart, IN
  • NPI 1558856542
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arkaduisz M Debicki, PT

  • Physical Therapist
  • South Bend, IN
  • NPI 1881648582

  IN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Katie A Debicki, SLP

  • Speech-Language Pathologist
  • South Bend, IN
  • NPI 1033391412

  IN

  Medicare reassignment Care Compare group NPD
• Leslie C Erickson, OT

  • Occupational Therapist
  • South Bend, IN
  • NPI 1346565298

  IN

  Medicare reassignment Care Compare group NPD
• Amber Marie Foley, SLP

  • Speech-Language Pathologist
  • Granger, IN
  • NPI 1811152309
  NPD (past)
• Suzanne S Hertzler, OTR

  • Occupational Therapist
  • Mishawaka, IN
  • NPI 1821020660
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1497824577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E MCKINLEY AVE",
            "address_2": "SUITE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456285",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152352",
            "telephone_number": "574-255-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Old US 20 W",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141168",
            "country_code": "US",
            "telephone_number": "574-327-6518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 E McKinley Ave",
            "address_2": "SUITE 1",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "46545",
            "country_code": "US",
            "telephone_number": "574-255-8730",
            "fax_number": "574-255-8732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCEPT THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "DEBICKI",
        "authorized_official_first_name": "ARKADIUSZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-255-8730",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005298A",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300037693",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commons at Juday Creek
• Community Health Partners of South Bend, Inc.
• Community Transit LLC
• Concept Care at Home
• Concept Therapy Home Health LLC
• Carrie Conder, LCSW
• Susan Lynn Conn, NP
• Connections Counseling Services LLC
• Elizabeth Ann Conner, NP
• Monique A Conner, M.S.,CCC-SLP

• Comprehensive Outpatient Rehabilitation Facility (CORF) in South Bend, IN
• Providers in South Bend, IN by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.