Organization
1ST ADVANTAGE PHYSICAL THERAPY PC
Active
Organization
1ST ADVANTAGE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ELO PT (PRESIDENT)
(219) 663-3554
Entity
Organization
Contact information
Practice address
1516 N MAIN ST, CROWN POINT, IN 46307-2332
(219) 226-1500
(219) 226-0500
Mailing address
1516 N MAIN ST, CROWN POINT, IN 46307-2332
(219) 226-1500
(219) 226-0500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05005012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363591
ANTHEM
IN
01
—
P00374932
RAILROAD MEDICARE
IN
Enumeration date
12/07/2007
Last updated
01/22/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up