Organization Active NPI

National Rehabilitation Care

  • Physical Therapy Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1083714505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05004444A Issued in IN
Legal business name
NATIONAL REHABILITATION CARE
Practice address
6642 Saint Joe Rd
Fort Wayne, IN 46835-1933
Phone
(260) 492-6197
NPI assigned
Sep 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammed Motawea
Title
Adminstrator
Phone
(260) 492-6197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05004444A IN Primary

Addresses

Primary practice location

6642 Saint Joe Rd
Fort Wayne, IN 46835-1933

Mailing address

5029 Backlick Rd # a
Annandale, VA 22003-6044
Phone (260) 492-6197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083714505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 BACKLICK RD # A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036044",
            "telephone_number": "260-492-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 SAINT JOE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468351933",
            "telephone_number": "260-492-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL REHABILITATION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTAWEA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "260-492-6197",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.