Provider Demographics
NPI:1568840247
Name:MACHEN THERAPY AND SPORTS MEDICINE, LLC
Entity type:Organization
Organization Name:MACHEN THERAPY AND SPORTS MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKINBOBUYI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:219-616-8842
Mailing Address - Street 1:6966 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-3696
Mailing Address - Country:US
Mailing Address - Phone:219-616-8842
Mailing Address - Fax:
Practice Address - Street 1:6966 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3696
Practice Address - Country:US
Practice Address - Phone:219-525-4755
Practice Address - Fax:219-230-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy