NPIMap

Organization Active NPI

Rewired Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Noblesville, IN
National Provider Identifier
1538611587
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
05010628A Issued in IN
Legal business name
REWIRED REHABILITATION, LLC
Practice address
15905 Plains Rd
Noblesville, IN 46062-4655
Phone
(219) 688-0017
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Samantha Jean Duttlinger, PT, DPT, MBANPI 1982970547
Title
Owner
Phone
(219) 688-0017

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
Rehabilitation Clinic/Center 261QR0400X 05010628A IN Primary

Addresses

Primary practice location

15905 Plains Rd
Noblesville, IN 46062-4655

Mailing address

15905 Plains Rd
Noblesville, IN 46062-4655
Phone (219) 688-0017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1538611587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 PLAINS RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460624655",
            "telephone_number": "219-688-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 PLAINS RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460624655",
            "telephone_number": "219-688-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DUTTLINGER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-688-0017",
        "authorized_official_credential": "PT, DPT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IN",
            "license": "05010628A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.