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Contact Information

CONCEPT THERAPY PROFESSIONAL CORPORATION
3222 MISHAWAKA AVE
SOUTH BEND, IN46615-2352
 Phone: 574-255-8730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONCEPT THERAPY PROFESSIONAL CORPORATION

NPI Number 1497824577
LBN Legal business name CONCEPT THERAPY PROFESSIONAL CORPORATION
Authorized official ARKADIUSZ DEBICKI - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 12/07/2022 - About 4 years ago
Identifiers
IN License # 05005298A
IN Medicaid 300037693
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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