Porter County Physical Med Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003279A Issued in IN

Legal business name

PORTER COUNTY PHYSICAL MED REHAB

Practice address

2600 N Roosevelt Road
Ste 200 3
Valparaiso, IN 46383-0970

Phone

(219) 548-3828

Fax

(219) 548-3803

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Miss Lisa M Hayes

Title

Ins Coordinator

Phone

(219) 548-3828

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale Lee Beauvais, DC

  • Chiropractor
  • Valparaiso, IN
  • NPI 1760506554
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659445286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N ROOSEVELT ROAD",
            "address_2": "STE 200 3",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830970",
            "telephone_number": "219-548-3828",
            "fax_number": "219-548-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N ROOSEVELT ROAD",
            "address_2": "STE 200 3",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830970",
            "telephone_number": "219-548-3828",
            "fax_number": "219-548-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER COUNTY PHYSICAL MED REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INS COORDINATOR",
        "authorized_official_telephone_number": "219-548-3828",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003279A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER BCBS",
            "identifier": "000000356528",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Porter County Community Services, Inc
• Porter County Endoscopy Center, LLC
• Porter County Family Counseling Center
• Porter County Family Counseling Center
• Porter County Internal Medicine PC
• Porter County Pulmonary and Critical Care Medicine P.C.
• Porter Emergency Group, PC
• Porter Group Services, LLC
• Porter Health Service
• Porter Health Services

• All providers in Valparaiso, IN
• Physical Therapist in Indiana

• 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.