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VICTORY LANE CHILDRENS REHAB LLC NPI 1912268285


NPI Information

NPI: 1912268285
Provider Name: VICTORY LANE CHILDRENS REHAB, LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2021 S MEMORIAL DR
NEW CASTLE, IN
ZIP 47362
Phone: (765) 593-9355
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VICTORY LANE CHILDRENS REHAB, LLC is a pediatrics physical therapist in New Castle, IN. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. VICTORY LANE CHILDRENS REHAB, LLC NPI is 1912268285. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2021 S MEMORIAL DR
NEW CASTLE, IN
ZIP 47362-221
Phone: (765) 593-9355

The provider's authorized official is Brett Charles Fischer .
The authorized official title is Owner and has the following contact phone number (765) 593-9355.

The enumeration date for this NPI number is 6/4/2012 and was last updated on 6/4/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224Z00000XOccupational Therapy AssistantNo
2225100000XPhysical TherapistNo
32251E1300XPhysical TherapistElectrophysiology, ClinicalNo
42251S0007XPhysical TherapistSportsNo
5225200000XPhysical Therapy AssistantNo
6225800000XRecreation TherapistNo
7225X00000XOccupational TherapistNo
8225XF0002XOccupational TherapistFeeding, Eating & SwallowingNo
9225XP0200XOccupational TherapistPediatricsNo
10235Z00000XSpeech-Language PathologistNo
11390200000XStudent in an Organized Health Care Education/Training ProgramNo
122251P0200XPhysical TherapistPediatricsYes

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: 4/28/2024

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