ADVANCED THERAPY AND PERFORMANCE LLC


Address: 4106 Merchant Rd Rm A, Fort Wayne, IN 46818-1248
Phone: 2602556494

ADVANCED THERAPY AND PERFORMANCE LLC (NPI# 1518583038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518583038
Entity Type Organization
Organization Name ADVANCED THERAPY AND PERFORMANCE LLC
Other Organization Name ATP
Practice Address 4106 Merchant Rd Rm A
Fort Wayne
IN 46818-1248
Practice Telephone 2602556494
Practice Fax Number 2603992075
Mailing Telephone 2602556494
Mailing Fax Number 2603992075
Enumeration Date 2020-06-20
Last Update Date 2020-10-12
Authorized Official Name DR. EMANUEL LUCIAN BOAR (OWNER - PHYSICAL THERAPIST)
Authorized Official Telephone 2602556494
Authorized Official Credential PT, DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
ATP Doing Business As Name - Organization
ATP Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235592247 Advanced Therapy and Performance LLC Physical Medicine & Rehabilitation 75 Selleck Street, Stamford, CT 06902 2016-03-29

Office Location

Street Address 4106 MERCHANT RD RM A
City FORT WAYNE
State IN
Zip Code 46818-1248

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710464938 Heather Smith Day Training/Habilitation Specialist 9434 Lima Road, Suite C, Fort Wayne, IN 46818 2018-07-20
1184146748 Danielle Macias Speech-Language Pathologist 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 2017-07-14
1801326533 Kimberly M Kindt Optometrist 9426 Lima Rd Ste C, Fort Wayne, IN 46818 2017-06-15
1578983359 Sarah Buzzard Occupational Therapy Assistant 9426 Lima Road, A, Fort Wayne, IN 46818 2014-04-21
1306196704 Peter Yang Gaw Go Occupational Therapist 3406 Bluefield Place, Fort Wayne, IN 46818 2012-09-12
1043593536 Carol Lynn Steinbach Massage Therapist 12101 Hand Rd., Fort Wayne, IN 46818 2011-09-21
1295058071 Summit Nutrition Services, LLC Dietitian, Registered 3027 Mariposa Place, Fort Wayne, IN 46818 2010-03-08
1184871899 The Arc of Northeast Indiana, Inc Intermediate Care Facility, Mentally Retarded 9104 Strathmore Lane, Fort Wayne, IN 46818 2008-08-25
1285851121 Angela Coleman Dentist 10505 Lima Road, Fort Wayne, IN 46818 2007-04-20
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417555640 Kara Peas Physical Therapist 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN 46845-1733 2020-10-10
1639776016 Kelsey Lin Physical Therapist 10088 N Clinton St, Fort Wayne, IN 46825-0012 2020-10-08
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1114544053 Pradip Rai Physical Therapist 6327 Cornwallis Dr Apt 3a, Fort Wayne, IN 46804-8376 2020-06-26
1013542646 Stephen Thomas Epley Physical Therapist 2715 West Dr, Fort Wayne, IN 46805-3626 2020-03-04
1295369304 Sarah Botts Physical Therapist 12844 Coldwater Rd Ste Dc, Fort Wayne, IN 46845-8833 2020-02-27
1861040370 Preston Thomas Wagner Physical Therapist 7617 W Jefferson Blvd Ste D, Fort Wayne, IN 46804-4164 2019-08-28
1972165272 Emanuel Lucian Boar Physical Therapist 4106 Merchant Rd, Rm A, Fort Wayne, IN 46818-1248 2019-07-08
1568921849 Alethea Napolis Dago-an Physical Therapist 302 E Essex Ln, Fort Wayne, IN 46825-5365 2019-03-17
1952880403 Mercedes Bihis Gozun Physical Therapist 8734 Spring Forest Dr, Fort Wayne, IN 46804-6441 2018-08-07
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City FORT WAYNE
Zip Code 46818

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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