OBSIDIAN HEALTH AND REHABILITATION, LLC (NPI# 1619291499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619291499 |
| Entity Type | Organization |
| Organization Name | OBSIDIAN HEALTH AND REHABILITATION, LLC |
| Practice Address |
130 Hunter Station Way Ste 201 Sellersburg IN 47172-8932 |
| Mailing Address |
Po Box 762 Floyds Knobs IN 47119-0762 |
| Practice Telephone | 8127864394 |
| Practice Fax Number | 8127251634 |
| Mailing Telephone | 8127864394 |
| Mailing Fax Number | 8127251634 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | MR. NATHAN CHARLES LYNCH (OWNER) |
| Authorized Official Telephone | 8127864394 |
| Authorized Official Credential | PT, CFCE, CSCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
130 HUNTER STATION WAY STE 201 |
| City | SELLERSBURG |
| State | IN |
| Zip Code | 47172-8932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008944 | Eva De Fiesta | Physical Therapist | Carefirst Rehab, 7225nova's Landing, Sellersburg, IN 47172 | 2019-11-21 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1447774971 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 State Route 311, Sellersburg, IN 47172 | 2017-07-26 |
| 1093251829 | Ronda Merryman-valiyi | Health Educator | 3010 Plum Woods Ct, Sellersburg, IN 47172 | 2017-01-18 |
| 1639422348 | Mary Mollerus | Pharmacist | 2853 Plantation Court, Sellersburg, IN 47172 | 2012-10-18 |
| 1518112929 | Joyce Marie Applegate | Dental Hygienist | 809 South Indiana Avenue, Sellersburg, IN 47172 | 2008-11-26 |
| 1265696041 | Linda Kaye Abell | Occupational Therapist | 7823 Old State Hwy 60, Sellersburg, IN 47172 | 2008-07-11 |
| 1154596252 | Ronald Lee Waggoner | Counselor | 635 W Utica St, Waggoners Counseling, Sellersburg, IN 47172 | 2008-04-29 |
| 1407995806 | Michael J Moskal | Orthopaedic Surgery | 130 Hunters Station Way, Suite 201, Sellersburg, IN 47172 | 2007-02-05 |
| 1689773343 | Designing Smiles Psc | Dentist | 7709 Highway 311, Sellersburg, IN 47172 | 2006-09-21 |
| Find all providers in zip 47172 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893239 | Armstrong Physiotherapy LLC | Clinic/Center | 609 E 29th St Rm 103, Indianapolis, IN 46205-4160 | 2020-08-25 |
| 1548870397 | Nrg Physiotherapy Inc | Clinic/Center | 2366 Smith Rd, Plainfield, IN 46168-6782 | 2020-08-06 |
| 1811519655 | Flourish Columbus, Inc | Clinic/Center | 728 3rd St, Columbus, IN 47201-6813 | 2020-05-14 |
| 1265062079 | Kompashinet Rehab LLC | Clinic/Center | 1130 Knightsbridge Lane, Fishers, IN 46037-9151 | 2020-01-21 |
| 1225698541 | Bounce Back Physical Therapy | Clinic/Center | 13728 Monique Dr, Carmel, IN 46074-2312 | 2019-06-18 |
| 1073086914 | Core Physical Therapy LLC | Clinic/Center | 415 E Cook Rd Ste 600, Fort Wayne, IN 46825-3657 | 2019-01-03 |
| 1043787294 | Madison Orthopedic Rehab | Clinic/Center | 219 Clifty Dr, Madison, IN 47250-1603 | 2018-10-25 |
| 1962987255 | Ptworx LLC | Clinic/Center | 5006 S Rogers St, Bloomington, IN 47403-4655 | 2018-10-02 |
| 1427535749 | Indiana Physical Therapy, Inc. | Clinic/Center | 1240 N Nappanee St, Elkhart, IN 46514-1732 | 2018-07-20 |
| 1801389663 | Accelerated Rehabilitation Centers Ltd | Clinic/Center | 6856 Whitestown Pkwy, Zionsville, IN 46077-7624 | 2018-06-07 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSBURG |
| Zip Code | 47172 |
Please comment or provide details below to improve the information on OBSIDIAN HEALTH AND REHABILITATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.