NPIMap

Organization Active NPI

Hoosier Physical Therapy

Doing business as Kendallville Physical Therapy

  • Physical Therapist
  • Kendallville, IN
National Provider Identifier
1700911815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOOSIER PHYSICAL THERAPY
Doing business as
Kendallville Physical Therapy
Practice address
621 W North St
Kendallville, IN 46755-1009
Phone
(260) 343-0343
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Barile, DC,PTNPI 1184633703
Title
Co-Owner
Phone
(260) 420-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

621 W North St
Kendallville, IN 46755-1009

Mailing address

621 W North St
Kendallville, IN 46755-1009
Phone (260) 343-0343

Other names 1

  • Kendallville Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hoosier Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

621 W North St
Kendallville, IN 46755
Phone (260) 343-0343

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700911815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551009",
            "telephone_number": "260-343-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551009",
            "telephone_number": "260-343-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "260-420-4400",
        "authorized_official_credential": "DC,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendallville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kendallville, IN

Sources for this page

  • 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.