Provider Demographics
NPI:1720101231
Name:WESTVIEW WEST OUTPATIENT THERAPY CLINIC
Entity Type:Organization
Organization Name:WESTVIEW WEST OUTPATIENT THERAPY CLINIC
Other - Org Name:PEOPLEFIRST REHAB
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGROOT-TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS,OTR
Authorized Official - Phone:812-275-5593
Mailing Address - Street 1:705 S DEER TRCE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8523
Mailing Address - Country:US
Mailing Address - Phone:812-339-6800
Mailing Address - Fax:
Practice Address - Street 1:2137 16TH ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3003
Practice Address - Country:US
Practice Address - Phone:812-275-5593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)