Healthcare Provider Details

I. General information

NPI: 1871402602
Provider Name (Legal Business Name): ENDLESS POSSIBILITIES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 LINCOLNWAY
LA PORTE IN
46350-3412
US

IV. Provider business mailing address

1739 W TIFFANY WOODS DR
LA PORTE IN
46350-7004
US

V. Phone/Fax

Practice location:
  • Phone: 219-851-1193
  • Fax:
Mailing address:
  • Phone: 219-851-1193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN ANDERSON
Title or Position: CEO
Credential: PT, DPT
Phone: 219-851-1193