OrganizationActive
1st Advantage Physical Therapy PC
NPI 1962685388 · Physical Medicine & Rehabilitation Physician · Crown Point, IN
Provider details
- NPI number
- 1962685388
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Elo, President(219) 663-3554
- License
- 05005012A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1516 N Main St
Crown Point, IN 46307-2332
Phone: (219) 226-1500
Fax: (219) 226-0500
Approximate (ZIP-level) locationGet directions
Mailing address
1516 N Main St
Crown Point, IN 46307-2332
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2008-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.