Provider Demographics
NPI:1821118589
Name:COMPREHENSIVE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:COMPREHENSIVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSANA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:219-977-2090
Mailing Address - Street 1:7501 W. 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46406
Mailing Address - Country:US
Mailing Address - Phone:219-977-2092
Mailing Address - Fax:219-977-2091
Practice Address - Street 1:7501 W. 15TH AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46406
Practice Address - Country:US
Practice Address - Phone:219-977-2092
Practice Address - Fax:219-977-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02001893A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty