1St Advantage Physical Therapy Pc

LBN: 1St Advantage Physical Therapy Pc
1St Advantage Physical Therapy Pc is an health care organization with primary practice located at 1516 N Main St , Crown Point IN 46307-2332. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. 1St Advantage Physical Therapy Pc can be contacted via phone (219) 226-1500, or through Elo, Kevin via phone (219) 663-3554.

Contact Information

Primary practice address
1516 N Main St Crown Point IN 46307-2332
Phone: (219) 226-1500
Fax: (219) 226-0500
Website:
Map and Directions
Authorized official contact:
Name: Elo, Kevin Physical Therapist (PT)
Phone: (219) 663-3554

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 05005012A Indiana

Profile Details

NPI number 1962685388
LBN Legal business name 1St Advantage Physical Therapy Pc
DBA Doing business as
Authorized official Elo, Kevin Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Jan 22nd, 2008 - about 17 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 1962685388 NPPES
Indiana Other 000000363591 ANTHEM
Indiana Other P00374932 ANTHEM

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