Active NPI
Pim Grace Dagatan Pimentel, PT
- Physical Therapist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015059A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
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
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 100
- Quality
- 90.69
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05015059A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico, LTD | Physical Therapist | Current | 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.
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
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.