Worksport Rehabilitation Service, NPI 1639270010
Specialist in La Porte, IN, US

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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
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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

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

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.

Business Address

Worksport Rehabilitation Service
2338 N Us Highway 35

La Porte, IN, US

Phone: 219-325-0060
Fax: 219-325-9919

Mailing Address

Worksport Rehabilitation Service
2338 N Us Highway 35
La Porte, IN, US
ZIP 463508380
Phone: 219-325-0060
Fax: 219-325-9919

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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