National Provider Identifier Database

CONCEPT THERAPY PROFESSIONAL CORPORATION
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

CONCEPT THERAPY PROFESSIONAL CORPORATION
3222 MISHAWAKA AVE
SOUTH BEND, IN46615-2352
Phone: 574-255-8730
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for CONCEPT THERAPY PROFESSIONAL CORPORATION

NPI Number 1497824577
Legal business name
LBN
CONCEPT THERAPY PROFESSIONAL CORPORATION
Authorized official ARKADIUSZ DEBICKI - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/06/2006
Last updated 12/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 05005298A
  • IN Medicaid: 300037693

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CONCEPT THERAPY PROFESSIONAL CORPORATION

There are currently no reviews for CONCEPT THERAPY PROFESSIONAL CORPORATION


NPIdb - Home
v2.201