Active NPI
DD Rehab & Therapy Services LLC
- Physical Therapist
- Mishawaka, IN
National Provider Identifier
1982562989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DD REHAB & THERAPY SERVICES LLC
- Practice address
- 402 W Grove St
Mishawaka, IN 46545-6044 - Phone
- (817) 733-6708
- NPI assigned
- Jan 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aditi Datta
- Title
- Managing Member
- Phone
- (817) 733-6708
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
402 W Grove St
Mishawaka, IN 46545-6044
Mailing address
402 W Grove St
Mishawaka, IN 46545-6044
Phone (817) 733-6708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
402 W Grove St
Mishawaka, IN 46545
Phone (817) 733-6708
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- South Bend, IN
- NPI 1265123152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768003200000",
"number": "1982562989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W GROVE ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456044",
"telephone_number": "817-733-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W GROVE ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456044",
"telephone_number": "817-733-6708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DD REHAB & THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-10",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A",
"authorized_official_last_name": "DATTA",
"authorized_official_first_name": "ADITI",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "817-733-6708"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.