Organization Active NPI

Machen Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Merrillville, IN
National Provider Identifier
1568840247
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MACHEN THERAPY AND SPORTS MEDICINE, LLC
Practice address
6966 Broadway
Merrillville, IN 46410-3696
Phone
(219) 525-4755
Fax
(219) 230-4020
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Dr. Henry M Akinbobuyi, DPTNPI 1922209097
Title
President
Phone
(219) 616-8842

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6966 Broadway
Merrillville, IN 46410-3696

Mailing address

6966 Broadway
Merrillville, IN 46410-3696
Phone (219) 616-8842

Other practice location 1

519 N Halleck St
Demotte, IN 46310-9553
Phone (219) 525-4755

Other practice location 2

3445 Ridge Rd
Highland, IN 46322-2049
Phone (219) 525-4755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151014001869 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264749746 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

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.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1568840247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103696",
            "telephone_number": "219-616-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6966 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103696",
            "telephone_number": "219-525-4755",
            "fax_number": "219-230-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 N Halleck St",
            "address_purpose": "LOCATION",
            "city": "Demotte",
            "state": "IN",
            "postal_code": "463109553",
            "country_code": "US",
            "telephone_number": "219-525-4755",
            "fax_number": "219-230-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222049",
            "country_code": "US",
            "telephone_number": "219-525-4755",
            "fax_number": "219-230-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACHEN THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "AKINBOBUYI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-616-8842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.

Verify at the official NPI Registry.