Individual provider Active NPI

Naureen Habib, PT, DPT, MHS

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1871676387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003716A Issued in IN
Practice address
325 Glastonbury St
Munster, IN 46321-9124
Phone
(219) 308-2265
Fax
(219) 934-9102
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05003716A IN Primary

Addresses

Primary practice location

325 Glastonbury St
Munster, IN 46321-9124

Mailing address

325 Glastonbury St
Munster, IN 46321-9124
Phone (219) 308-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000443 IN Practitioner - Physical Therapist in Private Practice 0042244246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Center for Pain Control LLCGroup PAC ID 4688999550, 5 clinicians

Practice addresses (Care Compare)

10176 W 400 N B
The Vanguard Medical Group
Michigan City, IN 46360-9009
Phone (219) 301-2633

2825 Jewett Ave
Highland, IN 46322-1617
Phone (219) 923-8713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Extraordinary Rehab Services, LLC Physical Therapist CurrentSince Jun 1, 2007 Accepting new patients
Illinois Center for Pain Control LLC CurrentSince Mar 1, 2022 Accepting new patients
United Outreach Inc Physical Therapist Past Accepting new patients

Locations

2825 Jewett Ave
Highland, IN 46322
Phone (219) 308-2265

10176 W 400 N
Ste B
Michigan City, IN 46360
Phone (219) 301-2633

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871676387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 GLASTONBURY ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219124",
            "telephone_number": "219-308-2265",
            "fax_number": "219-934-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GLASTONBURY ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219124",
            "telephone_number": "219-308-2265",
            "fax_number": "219-934-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "NAUREEN",
        "credential": "PT, DPT, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.