Worksport Rehabilitation Service

LBN: Worksport Rehabilitation Service
Worksport Rehabilitation Service is an health care organization with primary practice located at 2338 N Us Highway 35 , La Porte IN 46350-8380. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Worksport Rehabilitation Service can be contacted via phone (219) 325-0060, or through Brooks, Randall via phone (219) 325-0060.

Contact Information

Primary practice address
2338 N Us Highway 35 La Porte IN 46350-8380
Phone: (219) 325-0060
Fax: (219) 325-9919
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Randall Registered Physical Therapist (RPT)
Phone: (219) 325-0060

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05002570A Indiana

Profile Details

NPI number 1639270010
LBN Legal business name Worksport Rehabilitation Service
DBA Doing business as
Authorized official Brooks, Randall Registered Physical Therapist (RPT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 18th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639270010 NPPES
Indiana MEDICAID 200240530A
Indiana MEDICAID 200891110B
Indiana Other 000000093552

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