Creative Health Care Management LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CREATIVE HEALTH CARE MANAGEMENT LLC

Doing business as

Vertis Therapy

Practice address

4010 S Ironwood Dr
South Bend, IN 46614-2200

Phone

(574) 216-4510

NPI assigned

Jun 3, 2020

Organization subpart

Yes

Parent organization

CREATIVE HEALTH CARE MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Misty D Beaudry-Zobel

Title

Reimbursement

Phone

(317) 204-3736

Specialties & licenses 5

Addresses

Other names 1

• Vertis Therapy Doing business as

Part of

Creative HLTH Care

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1821612037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S 9TH ST STE 4",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602631",
            "telephone_number": "765-524-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142200",
            "telephone_number": "574-216-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3731 W Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468189662",
            "country_code": "US",
            "telephone_number": "260-490-2112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Hanna St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468161166",
            "country_code": "US",
            "telephone_number": "260-447-8811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 Portage Ave",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466283501",
            "country_code": "US",
            "telephone_number": "574-440-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026403",
            "country_code": "US",
            "telephone_number": "765-455-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468023124",
            "country_code": "US",
            "telephone_number": "260-422-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 E Coliseum Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468051554",
            "country_code": "US",
            "telephone_number": "260-408-6732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Hickory Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465458865",
            "country_code": "US",
            "telephone_number": "574-252-7225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 Sohl Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463202008",
            "country_code": "US",
            "telephone_number": "219-937-9085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE HEALTH CARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE HEALTH CARE MANAGEMENT LLC",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BEAUDRY-ZOBEL",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "317-204-3736"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertis Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vertis Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.