Individual provider Active NPI

Pim Grace Dagatan Pimentel, PT

  • Physical Therapist
  • Lafayette, IN
National Provider Identifier
1942987938
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015059A Issued in IN
Practice address
210 S Creasy LN Ste 2160
Lafayette, IN 47905-0763
Phone
(765) 607-6918
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 05015059A IN Primary

Addresses

Primary practice location

210 S Creasy LN Ste 2160
Lafayette, IN 47905-0763

Mailing address

252 Paradise Pkwy
Oswego, IL 60543-8244
Phone (331) 725-4868

Other practice location 1

2502 Calumet Ave
Valparaiso, IN 46383-2762
Phone (219) 280-2034

Other practice location 2

252 Paradise Pkwy
Oswego, IL 60543-8244
Phone (331) 725-4868

Other practice location 3

759 45th St Ste 202
Munster, IN 46321-2939
Phone (219) 513-3416

Other names 1

  • Mrs. Pim Grace Pimentel Cultura Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810000560 IN Practitioner - Physical Therapist in Private Practice 3072975846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

210 S Creasy LN
Suite 2160
Lafayette, IN 47905-0763
Phone (765) 607-6918

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as apm
Quality
90.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05015059AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 19, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Dec 19, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

210 S Creasy Ln
Ste 2160
Lafayette, IN 47905
Phone (765) 607-6918

5 Broadway Plz
Peru, IN 46970
Phone (765) 327-2111

3319 Willowcreek Rd
Portage, IN 46368
Phone (574) 544-5434

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

2502 Calumet Ave
Valparaiso, IN 46383
Phone (219) 280-2034

Organizations & group practices 5

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1942987938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 PARADISE PKWY",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438244",
            "telephone_number": "331-725-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CREASY LN STE 2160",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050763",
            "telephone_number": "765-607-6918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2502 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832762",
            "country_code": "US",
            "telephone_number": "219-280-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Paradise Pkwy",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438244",
            "country_code": "US",
            "telephone_number": "331-725-4868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 45th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212939",
            "country_code": "US",
            "telephone_number": "219-513-3416",
            "fax_number": "219-513-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "PIM GRACE",
        "middle_name": "DAGATAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015059A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PIM GRACE",
            "last_name": "CULTURA",
            "middle_name": "PIMENTEL",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.