Organization Active NPI

Premiere Rehab, LLC

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1689600801
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.