Provider Demographics
NPI:1073651105
Name:PULMONARY REHABILITATION PLUS LTD
Entity Type:Organization
Organization Name:PULMONARY REHABILITATION PLUS LTD
Other - Org Name:ADVANCED REHABILITATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOGLIATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-762-1300
Mailing Address - Street 1:9003 INDIANAPOLIS BLVD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322
Mailing Address - Country:US
Mailing Address - Phone:219-838-5305
Mailing Address - Fax:219-838-5418
Practice Address - Street 1:9003 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2502
Practice Address - Country:US
Practice Address - Phone:219-838-5305
Practice Address - Fax:219-838-5418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009079A225100000X
IN05007981A225100000X
IN30004508A227800000X
IN154513261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Multi-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200178200AMedicaid
IN154513Medicare ID - Type Unspecified