INDIANA PHYSICAL THERAPY INC (NPI# 1841534914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841534914 |
| Entity Type | Organization |
| Organization Name | INDIANA PHYSICAL THERAPY INC |
| Practice Address |
2101 E Coliseum Blvd Fort Wayne IN 46805-1445 |
| Mailing Address |
4251 Lahmeyer Rd Fort Wayne IN 46815-5676 |
| Practice Telephone | 2604810698 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | TROY SMITH (SENIOR THERAPIST) |
| Authorized Official Telephone | 2603858756 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 36001993A | IN | Agencies |
| Street Address |
2101 E COLISEUM BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013936442 | Mindy Joy Yoder | Nurse Practitioner | 2101 E Coliseum Blvd, Walb 234, Fort Wayne, IN 46805-1445 | 2006-07-18 |
| 1821571704 | Chase Edward Taylor | Specialist/Technologist | 2101 E Coliseum Blvd, Fort Wayne, IN 46805 | 2018-09-07 |
| 1225584295 | Purdue University | Nurse Practitioner | 2101 E Coliseum Blvd, Wu 234, Fort Wayne, IN 46805-1445 | 2016-08-30 |
| 1639622772 | Pamela S Dekoninck | Nurse Practitioner | 2101 E Coliseum Blvd, Wu 234, Fort Wayne, IN 46805-1445 | 2016-07-25 |
| 1851798243 | Chelsea Lynn Driver | Specialist/Technologist | 2101 E Coliseum Blvd, Fort Wayne, IN 46805-1445 | 2014-12-01 |
| 1679917710 | Purdue University | Clinic/Center | 2101 E Coliseum Blvd, Walb Union 234, Fort Wayne, IN 46805-1445 | 2013-04-19 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427373372 | Super Shot | Public Health or Welfare | 709 Clay St, Suite 300, Fort Wayne, IN 46802-2019 | 2010-04-05 |
| 1649422668 | Ft. Wayne-allen County Department of Health | Public Health or Welfare | 200 E Berry St., Suite 360, Fort Wayne, IN 46802-2738 | 2008-10-22 |
| 1932386364 | Frank Robinson Jr Od PC | Public Health or Welfare | 6710 Old Trail Rd, Fort Wayne, IN 46809-2639 | 2008-01-29 |
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| 1942836606 | Dekalb County | Public Health or Welfare | 220 E 7th St Ste 110, Auburn, IN 46706-1899 | 2020-03-13 |
| 1992342562 | Steuben County Auditor | Public Health or Welfare | 317 S Wayne St Ste 3a, Angola, IN 46703-1958 | 2019-12-03 |
| 1689138794 | Sds Counseling LLC | Public Health or Welfare | 590 Missouri Ave Ste 206f, Jeffersonville, IN 47130-3084 | 2019-01-23 |
| 1457875460 | Indiana Department of Child Services | Public Health or Welfare | 302 W Washington St Rm E306, Indianapolis, IN 46204-2738 | 2017-08-01 |
| 1609316215 | Affordable Digital Hearing | Public Health or Welfare | 37 Meadows Shopping Ctr, Terre Haute, IN 47803-2373 | 2017-03-01 |
| 1457702599 | New Dawn Behavioral Health LLC | Public Health or Welfare | 4601 Bayard Park Dr Ste 202, Evansville, IN 47714-0602 | 2016-06-30 |
| 1417318429 | Pillar Technologies, LLC | Public Health or Welfare | 25929 N Shore Dr, Elkhart, IN 46514-6309 | 2016-03-18 |
| 1417312570 | Sharon L Chambers Ins Agy Inc | Public Health or Welfare | 5275 Broadway, Gary, IN 46410-1552 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on INDIANA PHYSICAL THERAPY INC.
| 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.