NPIMap

Organization Active NPI

Physical Medicine and Rehabilitation of East Central Indiana, PC

  • Specialist
  • Winchester, IN
National Provider Identifier
1578650784
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01040142 Issued in IN
Legal business name
PHYSICAL MEDICINE AND REHABILITATION OF EAST CENTRAL INDIANA, PC
Doing business as
PMRECI, PC
Practice address
910 E Washington St
Suite 3
Winchester, IN 47394-9221
Phone
(765) 584-3665
Fax
(765) 584-5604
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Scott Brian Taylor, M.D.
Title
Owner
Phone
(765) 584-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 01040142 IN Primary

Addresses

Primary practice location

910 E Washington St
Suite 3
Winchester, IN 47394-9221

Mailing address

910 E Washington St
Suite 3
Winchester, IN 47394-9221
Phone (765) 584-3665

Other identifiers 1

IdentifierTypeStateIssuer
200167340AMedicaidIN

Other names 1

  • PMRECI, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physical Medicine and Rehabilitation of East Central Indiana PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1578650784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949221",
            "telephone_number": "765-584-3665",
            "fax_number": "765-584-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E WASHINGTON ST",
            "address_2": "SUITE 3",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949221",
            "telephone_number": "765-584-3665",
            "fax_number": "765-584-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE AND REHABILITATION OF EAST CENTRAL INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-584-3665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01040142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMRECI, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.