Worksport Rehabilitation Service

LBN: Worksport Rehabilitation Service
Worksport Rehabilitation Service is an health care organization with primary practice located at 411 E Ireland Rd Ste 400 , South Bend IN 46614-2681. 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 (574) 231-8950, or through Brooks, Randall via phone (574) 231-8950.

Contact Information

Primary practice address
411 E Ireland Rd Ste 400 South Bend IN 46614-2681
Phone: (574) 231-8950
Fax: (574) 231-8955
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Randall Registered Physical Therapist (RPT)
Phone: (574) 231-8950

Health care specialties

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

Profile Details

NPI number 1497842033
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 Oct 6th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1497842033 NPPES
Indiana Other 000000093552 BC BS PROVIDER NUMBER

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