Organization Active NPI

Earthworks Center Inc.

  • Physical Therapy Clinic/Center
  • Merrillville, IN
National Provider Identifier
1790854040
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05001346A Issued in IN
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

Updated by the provider on Mar 23, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90000962OtherINBLUE CROSS OF ILLINOIS
197601OtherINATHEM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.