Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremiah R Hines, PTA

Individual provider Physical Therapy Assistant · NPI 1720611510

Jeremiah R Hines, PTA is a Physical Therapy Assistant in Chesterton, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2775 Village Pt
Chesterton, IN 46304-0099
Phone: (219) 304-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09004094A (IN)

Record details

NPI number1720611510
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020

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