Active NPI
Earthworks Center Inc.
- Physical Therapy Clinic/Center
- Merrillville, IN
National Provider Identifier
1790854040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 05001346A
- Legal business name
- EARTHWORKS CENTER INC.
- Practice address
- 7725 Broadway
Suite a
Merrillville, IN 46410-4731 - Phone
- (219) 794-0029
- Fax
- (219) 794-0065
- NPI assigned
- Nov 8, 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
- Ms. Karlene M. Cantrell, R.P.T
- Title
- President
- Phone
- (219) 794-0029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 05001346A | IN | Primary |
Addresses
Primary practice location
7725 Broadway
Suite a
Merrillville, IN 46410-4731
Mailing address
7725 Broadway
Suite a
Merrillville, IN 46410
Phone (219) 794-0029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90000962 | Other | IN | BLUE CROSS OF ILLINOIS |
| 197601 | Other | IN | ATHEM |
National Provider Directory
National Provider DirectoryLocations
1303 W 81st Ave
Merrillville, IN 46410
Phone (219) 794-0029
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Crown Point, IN
- NPI 1508051657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1790854040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7725 BROADWAY",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "46410",
"telephone_number": "219-794-0029",
"fax_number": "219-794-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7725 BROADWAY",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464104731",
"telephone_number": "219-794-0029",
"fax_number": "219-794-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARTHWORKS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "KARLENE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-794-0029",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.P.T"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IN",
"license": "05001346A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ILLINOIS",
"identifier": "90000962",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHEM",
"identifier": "197601",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.