Internal Medicine Center of NW Indiana, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007981A Issued in IN

Legal business name

INTERNAL MEDICINE CENTER OF NW INDIANA, PC

Doing business as

Advanced Rehabilitation Services

Practice address

5800 Broadway
Merrillville, IN 46410-2601

Phone

(219) 985-1112

Fax

(219) 985-1150

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Dale Polk, CRTT

Title

Administrator

Phone

(219) 985-1112

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Advanced Rehabilitation Services Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1689712093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-985-1112",
            "fax_number": "219-985-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-985-1112",
            "fax_number": "219-985-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CENTER OF NW INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-985-1112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007981A",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "IN",
            "license": "30001586A",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "IN",
            "license": "30001325A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200121630A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Institute of Family Health
• Institute of Family Health
• Integrity Home Health of Lake County Inc
• Integrity Home Health of Northwest Indiana Inc.
• Internal Medicine Associates
• Interventional Clinics of America LLC
• Meagan Kathleen Ipema
• Irehab Therapeutic Specialists, LLC (iRehab Therapeutic Specialists)
• Samantha Irk, RBT
• Nunya Irvine, DMD

• Physical Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.