VICTORY LANE CHILDRENS REHAB, LLC (NPI# 1912268285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268285 |
| Entity Type | Organization |
| Organization Name | VICTORY LANE CHILDRENS REHAB, LLC |
| Practice Address |
2021 S Memorial Dr New Castle IN 47362-1221 |
| Practice Telephone | 7655939355 |
| Mailing Telephone | 7655939355 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | BRETT CHARLES FISCHER (OWNER) |
| Authorized Official Telephone | 7655939355 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XF0002X |
Occupational Therapist Specialization: Feeding, Eating & Swallowing |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2021 S MEMORIAL DR |
| City | NEW CASTLE |
| State | IN |
| Zip Code | 47362-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932458452 | Dusti D Dobbs | Occupational Therapist | 2021 S Memorial Dr, New Castle, IN 47362-1221 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898183 | Anthony S Catron | Registered Nurse | 1229 Saint James Dr, New Castle, IN 47362 | 2018-04-12 |
| 1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
| 1457600876 | Linda I Sweigart | Registered Nurse | 4235 S Main St, New Castle, IN 47362 | 2012-08-30 |
| 1063797355 | Occazio, Inc | Counselor | 339 South Highway 3, New Castle, IN 47362 | 2011-10-18 |
| 1790099166 | Bethany Cares Inc. | Home Health | 2020 S. Memorial Dr., Suite I, New Castle, IN 47362 | 2010-07-28 |
| 1164733945 | Jamie Sue Cate | Hearing Instrument Specialist | 1722 S. Memorial Dr., Suite C, New Castle, IN 47362 | 2010-06-28 |
| 1649400987 | Amy Wright | Dietitian, Registered | 615 State Road 38 W, New Castle, IN 47362 | 2009-07-21 |
| 1447449285 | Amber J Harless | Marriage & Family Therapist | 3337 S State Road 3, New Castle, IN 47362 | 2007-10-17 |
| 1710172309 | Assisted Living Concepts Inc | Assisted Living Facility | 2244 Q Avenue, New Castle, IN 47362 | 2007-09-07 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| Find all providers in zip 47362 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841859 | Paige Elizabeth Thomas | Physical Therapist | 15 Reads Way Ste 205, New Castle, DE 19720-1600 | 2020-05-04 |
| 1033765706 | Raven Ann Hunt | Physical Therapist | 3023 Wilmington Rd, New Castle, PA 16105-1242 | 2019-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769437 | Jenelle Lynn Sternasty | Physical Therapist | 5823 Lakeland Dr, Indianapolis, IN 46220-4167 | 2020-08-04 |
| 1194217851 | Janelle Mary Snyder | Physical Therapist | 7910 E Washington St Ste 150, Indianapolis, IN 46219-5563 | 2018-05-30 |
| 1568905354 | Jaimini Khatri | Physical Therapist | 7123 Windsor Lakes Pl, Indianapolis, IN 46237-8313 | 2016-11-28 |
| 1740699008 | Jennifer Paige Canter | Physical Therapist | 5517 Raintree Rdg, Jeffersonville, IN 47130-7732 | 2014-08-11 |
| 1568887966 | Jessica Gibbs Hinkle | Physical Therapist | 101 2nd Ave Sw, Apt 2a, Carmel, IN 46032-2073 | 2014-02-22 |
| 1700210846 | Stacie Lynn Borrousch | Physical Therapist | 1494 Laurel Oak Dr, Avon, IN 46123-9480 | 2013-08-26 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1295092831 | Carrie Anne Patterson | Physical Therapist | 418 S Ruston Ave, Evansville, IN 47714-1634 | 2012-04-20 |
| 1720370794 | Pediatric Links,llc | Physical Therapist | 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 | 2011-05-10 |
| 1477843894 | Megan Marie Hazelrigg | Physical Therapist | 2090 Cicero Rd, Noblesville, IN 46060-1097 | 2011-04-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 47362 |
Please comment or provide details below to improve the information on VICTORY LANE CHILDRENS REHAB, 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.