Active NPI
Joshua Charles Butcher, PT
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 99062094A
- Practice address
- 6410 W Jefferson Blvd Ste 15a
Fort Wayne, IN 46804-6282 - Phone
- (260) 299-7272
- Fax
- (260) 299-7273
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001889A | IN | |
| Physical Therapist | 225100000X | 99062094A | IN | Primary |
Addresses
Primary practice location
6410 W Jefferson Blvd Ste 15a
Fort Wayne, IN 46804-6282
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Indiana University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
613 W Lincoln Rd
Team Rehabilitation In10
Kokomo, IN 46902-3460
Phone (765) 416-6630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99062094A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
| Indiana Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
6410 W Jefferson Blvd
Ste 15A
Fort Wayne, IN 46804
Phone (260) 299-7272
6410 W Jefferson Blvd
Ste G15A
Fort Wayne, IN 46804
Phone (260) 299-7272
1992 E Stop 13 Rd
Indianapolis, IN 46227
Phone (317) 808-0230
613 W Lincoln Rd
#10
Kokomo, IN 46902
Phone (765) 416-6630
613 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 319-3522
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kokomo, IN
- NPI 1790455046
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
Physical Therapist
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
-
- Physical Therapy Clinic/Center
- Bluffton, IN
- NPI 1629110192
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1164838462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 W JEFFERSON BLVD STE 15A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046282",
"telephone_number": "260-299-7272",
"fax_number": "260-299-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "JOSHUA",
"middle_name": "CHARLES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001889A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "99062094A",
"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 Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.