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Contact Information

1ST ADVANTAGE PHYSICAL THERAPY PC
1516 N MAIN ST
CROWN POINT, IN46307-2332
 Phone: 219-226-1500
 Fax: 219-226-0500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for 1ST ADVANTAGE PHYSICAL THERAPY PC

NPI Number 1962685388
LBN Legal business name 1ST ADVANTAGE PHYSICAL THERAPY PC
Authorized official KEVIN ELO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2007
Last updated 01/22/2008 - About 18 years ago
Identifiers
IN License # 05005012A
IN Other 000000363591 ANTHEM
IN Other P00374932 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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