Provider Demographics
NPI:1932424132
Name:CENTER POINT REHAB, LLC
Entity Type:Organization
Organization Name:CENTER POINT REHAB, LLC
Other - Org Name:CENTER POINT REHAB, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:CABALLES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:219-716-0030
Mailing Address - Street 1:814 CEDAR PKWY
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1200
Mailing Address - Country:US
Mailing Address - Phone:219-227-8126
Mailing Address - Fax:219-227-8571
Practice Address - Street 1:814 CEDAR PKWY
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1200
Practice Address - Country:US
Practice Address - Phone:219-227-8126
Practice Address - Fax:219-227-8571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN53000120A261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy