Achieve Physical Therapy and Sports Performance, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

05009604A Issued in IN

Legal business name

ACHIEVE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC

Practice address

202 E Harcourt Rd Ste U
Angola, IN 46703-7198

Phone

(260) 665-7000

Fax

(260) 665-6480

NPI assigned

Oct 15, 2009

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Weidinger

Title

Office Manager

Phone

(260) 665-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Maria Anzelmo, P.T.

  • Physical Therapist
  • Angola, IN
  • NPI 1104968486
  Medicare reassignment Care Compare group NPD
• Kirsten Ferrigan, PT, DPT

  • Physical Therapist
  • Auburn, IN
  • NPI 1033590872
  Medicare reassignment Care Compare group NPD
• Emily A Watkins, PT

  • Physical Therapist
  • Angola, IN
  • NPI 1417515131
  Medicare reassignment Care Compare group NPD
• Duane Gaerte, PTA

  • Physical Therapy Assistant
  • Angola, IN
  • NPI 1811358815
  NPD (past)
• Cherie Mathews, PTA

  • Physical Therapy Assistant
  • Angola, IN
  • NPI 1528429503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1053646646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467030628",
            "telephone_number": "260-665-7000",
            "fax_number": "260-665-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E HARCOURT RD STE U",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037198",
            "telephone_number": "260-665-7000",
            "fax_number": "260-665-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "WEIDINGER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-665-7000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "05009604A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Susanne Adams, PTA
• Virginia M Adams, LMHC
• Jacqueline Leigh Akey, MD
• Andrew Aldred, PHARMD
• Rachel Allen, PHARMD

• Specialist in Angola, IN
• Providers in Angola, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.