Organization
HIGHWAY 30 PHYSICAL THERAPY AND REHABILITATION, LLC
Active
Other names
OSC Physical Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. POMPONI DO, FAAOS (OWNER)
(219) 662-2278
Entity
Organization
Contact information
Practice address
333 W. 89TH AVENUE, SUITE W4, MERRIVILLE, IN 46410-7050
(219) 648-2041
(219) 472-0665
Mailing address
333 W. 89TH AVENUE, SUITE W4, MERRIVILLE, IN 46410-7050
(219) 648-2041
(219) 472-0665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027182
—
IN
Enumeration date
03/26/2019
Last updated
02/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us