Jacob'S Ladder Pediatric Rehab Center in Portage - Physical Therapist
Jacob'S Ladder Pediatric Rehab Center - NPI 1265519151
Jacob'S Ladder Pediatric Rehab Center is a Physical Therapist in Portage, Indiana. Jacob'S Ladder Pediatric Rehab Center practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jacob'S Ladder Pediatric Rehab Center is 1265519151. The last update date is 2008-05-08.
Jacob'S Ladder Pediatric Rehab Center's current location address is 3325 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197644888 and fax number 2197644805. The mailing address for Jacob'S Ladder Pediatric Rehab Center is 3325 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacob'S Ladder Pediatric Rehab Center |
|---|---|
| Address | 3325 Willowcreek Rd, Portage, Indiana |
| Phone Number | 2197644888 |
| Fax Number | 2197644805 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Frigo Noel |
| Telephone Number | 2197644888 |
NPI Number Detail
| NPI Number | 1265519151 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 3325 Willowcreek Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463685015 |
| Phone Number | 2197644888 |
| Fax Number | 2197644805 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200196020A | IN | -- |
Post Comment/ Review Below
What is the Jacob'S Ladder Pediatric Rehab Center's 1265519151?
The Jacob'S Ladder Pediatric Rehab Center's NPI (National Provider Identifier) Number is 1265519151. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacob'S Ladder Pediatric Rehab Center's facilities are situated?
The facilities of Jacob'S Ladder Pediatric Rehab Center are physically located at the following address: 3325 Willowcreek Rd, Portage, IN, 463685015.
What is Jacob'S Ladder Pediatric Rehab Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacob'S Ladder Pediatric Rehab Center is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did Jacob'S Ladder Pediatric Rehab Center receive its 1265519151 assignment from the Centers for Medicare & Medicaid Services?
The Jacob'S Ladder Pediatric Rehab Center was assigned its 1265519151 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jacob'S Ladder Pediatric Rehab Center most recently updated or revised?
The details related to Jacob'S Ladder Pediatric Rehab Center, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-08.
NPI Number: 1720081763
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