Active NPI
Premiere Rehab, LLC
- Physical Therapy Clinic/Center
- Indianapolis, IN
National Provider Identifier
1689600801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PREMIERE REHAB, LLC
- Practice address
- 9505 E 59TH St
Suite B1
Indianapolis, IN 46216-1025 - Phone
- (317) 542-7680
- Fax
- (317) 542-7682
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chenin Kae Chestnut, OTR/L
- Title
- Member
- Phone
- (317) 542-7680
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IN | ||
| Physical Therapy Clinic/Center | 261QP2000X | IN | Primary | |
| Rehabilitation Clinic/Center | 261QR0400X | 31003306A | IN |
Addresses
Primary practice location
9505 E 59TH St
Suite B1
Indianapolis, IN 46216-1025
Mailing address
9505 E 59TH St
Suite B1
Indianapolis, IN 46216-1025
Phone (317) 542-7680
National Provider Directory
National Provider DirectoryLocations
9505 E 59th St
Ste B1
Indianapolis, IN 46216
Phone (317) 542-7680
5035 W 71st St
Ste D
Indianapolis, IN 46268
Phone (317) 542-7680
9505 E 59th St
Ste B
Indianapolis, IN 46216
Phone (317) 828-2414
9505 E 59th St
#B1
Indianapolis, IN 46216
Phone (317) 542-7680
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Carmel, IN
- NPI 1417270869
-
- Speech-Language Pathologist
- Indianapolis, IN
- NPI 1992899272
-
- Speech-Language Pathologist
- Indianapolis, IN
- NPI 1669668448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1689600801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 E 59TH ST",
"address_2": "SUITE B1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462161025",
"telephone_number": "317-542-7680",
"fax_number": "317-542-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9505 E 59TH ST",
"address_2": "SUITE B1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462161025",
"telephone_number": "317-542-7680",
"fax_number": "317-542-7682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIERE REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CHESTNUT",
"authorized_official_first_name": "CHENIN",
"authorized_official_middle_name": "KAE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "317-542-7680",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "IN",
"license": "31003306A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Premier Integrated Health P.C.
- Premier Orthodontics LLC
- Premier Sunrise Home Care LLC
- Premier Weight Loss of Indiana LLC
- Premier Weight Loss of Indiana LLC
- Premise Health of Indiana Medical PC
- Premise Health of Indiana Medical PC
- Premise Health of Indiana Medical PC
- Premise Health of Indiana Medical, PC
- Premium Caregiver Supports LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.