Providence Rehabilitation Services, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001734A Issued in IN

Legal business name

PROVIDENCE REHABILITATION SERVICES, P.C.

Practice address

8926 Arbor Hill Dr
Highland, IN 46322-2100

Phone

(219) 796-7273

Fax

(219) 972-2830

NPI assigned

Apr 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Terpstra Larsen, P.T.NPI 1699899575

Title

Owner

Phone

(219) 796-7273

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diane Larsen, P.T.

  • Physical Therapist
  • Highland, IN
  • NPI 1699899575
  NPD (past) Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1972626828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 ARBOR HILL DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222100",
            "telephone_number": "219-796-7273",
            "fax_number": "219-972-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 ARBOR HILL DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222100",
            "telephone_number": "219-796-7273",
            "fax_number": "219-972-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE REHABILITATION SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "TERPSTRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-796-7273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001734A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Highland, IN
• Providers in Highland, IN by specialty
• Physical Therapist in Indiana

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