Organization
SPORT ORTHOPEDIC REHABILITATIVE SERVICES INCORPORATED
Active
Organization
SPORT ORTHOPEDIC REHABILITATIVE SERVICES INCORPORATED
Active
Other names
Sport Orthopedic Rehab, Sport Orthopedic Rehabilitations
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E DYE DPT, PT, CSTS (PHYSICAL THERAPIST)
(219) 981-8109
Entity
Organization
Contact information
Practice address
1921 W 25TH AVE UNIT 4, GARY, IN 46404-3548
(219) 981-8109
(219) 980-8168
Mailing address
1921 W 25TH AVE UNIT 4, GARY, IN 46404-3548
(219) 981-8109
(219) 980-8168
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05002712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000241485
BC/BS
IN
01
—
199590
MEDICARE
IN
05
—
200400020A
—
IN
Enumeration date
08/04/2009
Last updated
10/13/2025
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