NPIMap

Organization Active NPI

Sports PT, LLC

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1760627434
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS PT, LLC
Practice address
1129 Merrillville Rd
Crown Point, IN 46307-2710
Phone
(219) 661-8008
Fax
(219) 661-8998
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Mr. Nicholas Fenn, PT, MBA, CSCSNPI 1881690659
Title
Owner
Phone
(219) 776-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1129 Merrillville Rd
Crown Point, IN 46307-2710

Mailing address

PO Box 546
Schererville, IN 46375-0546
Phone (219) 661-8008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1760627434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463750546",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MERRILLVILLE RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-776-8008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MBA, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.