Northern Indiana Rehabilitation Medicine, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01036492 Issued in IN

Legal business name

NORTHERN INDIANA REHABILITATION MEDICINE, INC.

Practice address

206 E Bartlett St
South Bend, IN 46601-1016

Phone

(574) 232-2222

Fax

(574) 232-2224

NPI assigned

Jul 2, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter L. Yu, M.D.

Title

President and Medical Director

Phone

(574) 232-2222

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1558568667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BARTLETT ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011016",
            "telephone_number": "574-232-2222",
            "fax_number": "574-232-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E BARTLETT ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011016",
            "telephone_number": "574-232-2222",
            "fax_number": "574-232-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA REHABILITATION MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "574-232-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01036492",
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "IN",
            "license": "01036492",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01036492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Indiana Maternal and Child Health Network, Inc
• Northern Indiana MCH Network
• Northern Indiana Oncology Associates LLC
• Northern Indiana Optometrists, PC
• Northern Indiana Orthopaedic Specialty Associates, PC (Northern Indiana Hand & Wrist Center)
• Erica K Northern
• Matthew Darl Norton, DO
• Timothy W Noveroske, MD
• Christine Nowak, M.ED
• Edward Daniel Nusbaum, M.D.

• Physical Medicine & Rehabilitation Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.