MEDICARE: AVONLEA HEBDA PT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05013067A	IN

General Provider Information

NPI Number	:	1437631751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVONLEA HEBDA PT DPT

Provider Business Mailing Address
First Line	:	883 FLAGSTONE DR
Second Line	:
City	:	DYER
State	:	IN
Zip	:	46311-2286
Country	:	US
Telephone Number	:	315-939-0536
Fax Number	:

Provider Business Practice Location Address
First Line	:	6625 W. LINCOLN HIGHWAY
Second Line	:	LOWEL LEVEL
City	:	CROWN POINT
State	:	IN
Zip	:	46307-9678
Country	:	US
Telephone Number	:	219-440-5360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	01/17/2022

Similar Medicare Providers

1780844910 — CROWN MEDICARE INC.
Practice Location Address:

2243 S 24TH AVE
BROADVIEW, IL
60155-3820

Practice Phone: 708-338-3305
Practice Fax: 708-338-3306

1619914264 — SHARILYNN R DEBOER PT
Practice Location Address:

6625 W LINCOLN HWY
CROWN POINT, IN
46307-9678

Practice Phone: 219-440-5360
Practice Fax:

1558614024 — DAVID BOSS DPT
Practice Location Address:

6625 W LINCOLN HWY LOWR LEVEL
CROWN POINT, IN
46307-9678

Practice Phone: 219-440-5360
Practice Fax:

1851702229 — JOANNE NIERE-RAMOS M.D.
Practice Location Address:

6625 W LINCOLN HWY
CROWN POINT, IN
46307-9678

Practice Phone: 219-922-8051
Practice Fax: 219-922-8608

1194334003 — VINCENT RICOBENE PT, DPT
Practice Location Address:

6625 W LINCOLN HWY LOWR LEVEL
CROWN POINT, IN
46307-9678

Practice Phone: 219-440-5360
Practice Fax: 219-440-5361

1477162303 — JONATHAN LOPEZ SANCHEZ PTAIN
Practice Location Address:

6625 W LINCOLN HWY LOWR LEVEL
CROWN POINT, IN
46307-9678

Practice Phone: 219-440-5360
Practice Fax:

Directions to “ AVONLEA HEBDA PT DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.