Worksport Rehabilitation Service, NPI 1639270010
Specialist in La Porte, IN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1639270010 |
| NPI Entity Type | Organization |
| Provider Name | Worksport Rehabilitation Service |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2338 N Us Highway 35, La Porte, IN, US |
| Provider Mailing Address | 2338 N Us Highway 35, La Porte, IN, US, 463508380 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPT Randall Brooks |
| Official Position | PRESIDENT/OWNER |
| Phone | 219-325-0060 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| License No. | 05002570A |
| License State | IN |
| Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 200240530A | IN | MEDICAID | 05 |
| 200891110B | IN | MEDICAID | 05 |
| 000000093552 | IN | BC BS PROVIDER NUMBER | 01 |
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