NPIMap

Organization Active NPI

Laporte Regional Hospital

  • Physical Therapy Assistant
  • La Porte, IN
National Provider Identifier
1508063652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06001316A Issued in IN
Legal business name
LAPORTE REGIONAL HOSPITAL
Practice address
1203 Washington St
La Porte, IN 46350-3221
Phone
(219) 326-2397
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Heather Y. Goff, P.T.A.
Title
Physical Therapists' Assistant
Phone
(219) 326-2397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 06001316A IN Primary

Addresses

Primary practice location

1203 Washington St
La Porte, IN 46350-3221

Mailing address

1203 Washington St
La Porte, IN 46350-3221
Phone (219) 326-2397

National Provider Directory

National Provider Directory
Tax ID family
Laporte Regional Health System Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1203 Washington St
Laporte, IN 46350
Phone (219) 325-7623

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508063652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WASHINGTON ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503221",
            "telephone_number": "219-326-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 WASHINGTON ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503221",
            "telephone_number": "219-326-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PHYSICAL THERAPISTS' ASSISTANT",
        "authorized_official_telephone_number": "219-326-2397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001316A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.