Active NPI
Wayne Rehab LLC
- Physical Therapist
- Valparaiso, IN
National Provider Identifier
1528620127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WAYNE REHAB LLC
- Practice address
- 4005 Lancaster Dr
Valparaiso, IN 46383-1953 - Phone
- (219) 510-2256
- NPI assigned
- Jul 3, 2019
- 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
- Jared Wayne
- Title
- Member
- Phone
- (219) 510-2256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
4005 Lancaster Dr
Valparaiso, IN 46383-1953
Mailing address
PO Box 1702
Valparaiso, IN 46384-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2634 W Sequim Bay Rd
Sequim, WA 98382
Phone (219) 510-2256
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Valparaiso, IN
- NPI 1346672979
-
- Physical Therapist
- Portage, IN
- NPI 1235321480
-
- Occupational Therapist
- Valparaiso, IN
- NPI 1033544978
-
- Speech-Language Pathologist
- Valparaiso, IN
- NPI 1659594885
-
- Occupational Therapist
- Valparaiso, IN
- NPI 1912227448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690156800000",
"number": "1528620127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1702",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463841702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 LANCASTER DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463831953",
"telephone_number": "219-510-2256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-03",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "WAYNE",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "219-510-2256"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"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 24, 2023; 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.