Organization Active NPI

Dynamic Rehabilitation Services

  • Physical Therapist
  • Valparaiso, IN
National Provider Identifier
1811065071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

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
Mrs. Satish Dolly Phadke, PTNPI 1376630897
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CG7971OtherINPALMETTO RR MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.