Active NPI
Dynamic Rehabilitation Services
- Physical Therapist
- Valparaiso, IN
National Provider Identifier
1811065071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DYNAMIC REHABILITATION SERVICES
- Practice address
- 2102 E Evans Ave
#115
Valparaiso, IN 46383-4096 - Phone
- (219) 476-0377
- Fax
- (219) 476-0388
- NPI assigned
- Dec 4, 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
- Mrs. Satish Dolly Phadke, PT
- Title
- Co Owner
- Phone
- (219) 476-0377
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2102 E Evans Ave
#115
Valparaiso, IN 46383-4096
Mailing address
2102 E Evans Ave
#115
Valparaiso, IN 46383-4096
Phone (219) 476-0377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG7971 | Other | IN | PALMETTO RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2102 Evans Ave
Ste 115
Valparaiso, IN 46383
Phone (219) 476-0377
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Valparaiso, IN
- NPI 1376630897
-
- Physical Therapist
- Valparaiso, IN
- NPI 1275573511
-
- Physical Therapist
- Valparaiso, IN
- NPI 1689761116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811065071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 E EVANS AVE",
"address_2": "#115",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834096",
"telephone_number": "219-476-0377",
"fax_number": "219-476-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 E EVANS AVE",
"address_2": "#115",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463834096",
"telephone_number": "219-476-0377",
"fax_number": "219-476-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHADKE",
"authorized_official_first_name": "SATISH",
"authorized_official_middle_name": "DOLLY",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "219-476-0377",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "CG7971",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, 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.