Procare Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

53000026A Issued in IN

Legal business name

PROCARE PHYSICAL THERAPY, P.C.

Practice address

60 W 94TH PL
Crown Point, IN 46307-1710

Phone

(219) 661-9508

Fax

(219) 661-9509

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

John Krug, MS, PTNPI 1588970982

Title

Administrator

Phone

(219) 661-9508

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Krug, PT

  • Physical Therapist
  • Crown Point, IN
  • NPI 1588970982
  NPD (past) Authorized official
• Fatai Bolaji Adisa, PT

  • Physical Therapist
  • Merrillville, IN
  • NPI 1710930011
  NPD (past)
• Maryanne Krug, PT

  • Physical Therapist
  • Crown Point, IN
  • NPI 1750670535
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1841297439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 94TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-661-9508",
            "fax_number": "219-661-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 94TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-661-9508",
            "fax_number": "219-661-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KRUG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-661-9508",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "53000026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.