NPIMap

Organization Active NPI

Health Reach Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Munster, IN
National Provider Identifier
1528403714
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05004041A Issued in IN
Legal business name
HEALTH REACH PHYSICAL THERAPY P.C.
Practice address
9200 Calumet Ave
Suite 401
Munster, IN 46321-2885
Phone
(219) 513-8866
Fax
(219) 513-8835
NPI assigned
May 1, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Mazoza Morsi Abdallah, P.TNPI 1356786545
Title
President
Phone
(219) 513-8866

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 Therapy Clinic/Center 261QP2000X 05004041A IN Primary

Addresses

Primary practice location

9200 Calumet Ave
Suite 401
Munster, IN 46321-2885

Mailing address

9200 Calumet Ave
Suite 401
Munster, IN 46321-2885
Phone (219) 513-8866

National Provider Directory

National Provider Directory

Locations

9200 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 513-8866

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1528403714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "address_2": "SUITE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-513-8866",
            "fax_number": "219-513-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "address_2": "SUITE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-513-8866",
            "fax_number": "219-513-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH REACH PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "MAZOZA",
        "authorized_official_middle_name": "MORSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-513-8866",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004041A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.