Heartland Physical Medicine & Rehabilitation PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

IN01022230 Issued in IN

Legal business name

HEARTLAND PHYSICAL MEDICINE & REHABILITATION PC

Doing business as

Pain Management & Rehabilitation

Practice address

1019 E Springhill Dr
Terre Haute, IN 47802

Phone

(812) 298-9797

Fax

(812) 298-0343

NPI assigned

May 19, 2006

Last updated

Jul 2, 2010By 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

Juanita Senior, MSW LCSW

Title

Office Manager

Phone

(812) 298-9797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain Management & Rehabilitation Doing business as

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.

• Juanita Senior Lamb

  • Clinical Social Worker
  • Terre Haute, IN
  • NPI 1417494600
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1669425419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7058",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-298-9797",
            "fax_number": "812-298-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-298-9797",
            "fax_number": "812-298-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-298-9797",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "IN01022230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healogics Specialty Physicians of Indiana, LLC
• Health Crossroads LLC (Health Crossroads)
• Health Source of Terre Haute, LLC
• Hearing Aid Warehouse, Inc
• Heart to Heart Hospice of Terre Haute LLC
• Sarah Heath, PT
• Anthony D Heavin, MD
• Daniel Hechavarria
• Jason Heck, PMHNP
• Carol J Heine, O.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.