WORKSPORT REHABILITATION SERVICE NPI 1497842033

NPI Information

  • NPI: 1497842033
  • Provider Name: WORKSPORT REHABILITATION SERVICE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 411 E IRELAND RD STE 400
    SOUTH BEND, IN
    ZIP 46614
  • Phone: (574) 231-8950

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NPI Details

WORKSPORT REHABILITATION SERVICE is a specialist in South Bend, IN. The provider is 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. WORKSPORT REHABILITATION SERVICE NPI is 1497842033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 E IRELAND RD STE 400
SOUTH BEND, IN
ZIP 46614-681
Phone: (574) 231-8950
Fax: (574) 231-8955

The provider's authorized official is Randall Brooks .
The authorized official title is President/owner and has the following contact phone number (574) 231-8950.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist05002570AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000093552OTHERINDIANABC BS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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