TRACY DAWN WHITELEATHER (NPI# 1649289299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649289299 |
| Entity Type | Individual |
| Full Name | TRACY DAWN WHITELEATHER |
| Other Name | TRACY DAWN BEASEY |
| Credential | PT |
| Practice Address |
3217 Lake Ave Fort Wayne IN 46805-5427 |
| Mailing Address |
Po Box 350034 Toledo OH 43635-0034 |
| Practice Telephone | 2604204400 |
| Practice Fax Number | 2604204448 |
| Mailing Telephone | 2604204400 |
| Mailing Fax Number | 2604204448 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 05006313A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200492840 | 05 |
| Street Address |
3217 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| 1346584638 | Dr. Lora Overton PC | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2012-11-27 |
| 1487862207 | Hoosier Physical Therapy | Specialist | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2007-05-18 |
| 1710039367 | Reginald Bradley Stiles Sr. | Family Medicine | 3217 Lake Ave, Fort Wayne, IN 46805 | 2007-01-16 |
| 1306855325 | Robert Melvin Schleinkofer | Family Medicine | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (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 |
| 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 |
| 1518583038 | Advanced Therapy and Performance LLC | Physical Therapist | 4106 Merchant Rd Rm A, Fort Wayne, IN 46818-1248 | 2020-06-20 |
| 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 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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| 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.