Sagamore Rehabilitation Center, INC
Physical Therapist in Monticello, IN. Organization (NPI-2).
NPI number1962563007
StatusActive
Last updated in NPPESNov 11, 2013
Details
- NPI
- 1962563007
- Entity type
- Organization (NPI-2)
- Legal business name
- Sagamore Rehabilitation Center, INC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Nov 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
127 N Main StMonticello, IN 47960-2130
Phone 574-808-3165 · Fax 574-808-3166
Mailing address
127 N Main StMonticello, IN 47960-2130
Phone 574-808-3165 · Fax 574-808-3166
Authorized official
Debra E Haworth
President
7654099006
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All 6 Physical Therapist providers in Monticello · All 208 providers in Monticello
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