Woodland Wellness and Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

05003416A Issued in IN

Legal business name

WOODLAND WELLNESS AND REHABILITATION

Practice address

8865 W 400 N
Suite 122
Michigan City, IN 46360-9222

Phone

(219) 872-2933

Fax

(219) 872-2934

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 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

Mrs. Mary Beth Dolezal-Reynolds

Title

Manager

Phone

(219) 872-2933

Specialties & licenses 1

Addresses

Locations

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.

• Frank E Aerts, PT

  • Physical Therapist
  • Chesterton, IN
  • NPI 1952475899
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1639364946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 122",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-872-2933",
            "fax_number": "219-872-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 122",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-872-2933",
            "fax_number": "219-872-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND WELLNESS AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DOLEZAL-REYNOLDS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-872-2933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05003416A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Noel Wolford, FNP-BC
• Reynold A Wolter, LCSW
• Rae-Londa Marie Woodard, MSN, FNP-BC
• Woodland Healthcare LLC
• Woodland Pain Center
• Workforce Health LLC
• Kristina Wu, M.D.
• Bernardo Israel Yahuaca, MD
• Dawn Yates, MSW LSW
• Natasha Yuhasz

• Physical Therapy Clinic/Center in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.