Organization Active NPI

Central Indiana Rehabilitative Services Inc

Doing business as Greencastle Phsyical Therapy & Sports Medicine Center

  • Physical Therapist
  • Greencastle, IN
National Provider Identifier
1629018569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002491 Issued in NU
Legal business name
CENTRAL INDIANA REHABILITATIVE SERVICES INC
Doing business as
Greencastle Phsyical Therapy & Sports Medicine Center
Practice address
1003 Mill Pond Lane
Suite C
Greencastle, IN 46135
Phone
(765) 653-8494
Fax
(765) 653-7835
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chet E Clodfelter, PTNPI 1306911292
Title
Administrator
Phone
(765) 653-8494

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002491 NU Primary

Addresses

Primary practice location

1003 Mill Pond Lane
Suite C
Greencastle, IN 46135

Mailing address

1003 Mill Pond Lane
Suite C
Greencastle, IN 46135
Phone (765) 653-8494

Other names 1

  • Greencastle Phsyical Therapy & Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629018569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MILL POND LANE",
            "address_2": "SUITE C",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-653-8494",
            "fax_number": "765-653-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MILL POND LANE",
            "address_2": "SUITE C",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-653-8494",
            "fax_number": "765-653-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLODFELTER",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "765-653-8494",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "05002491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greencastle Phsyical Therapy & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.