Evertend Medical Services in PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

EVERTEND MEDICAL SERVICES IN PC

Practice address

110 E Wayne St
Fort Wayne, IN 46802-2611

Phone

(212) 201-1252

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By 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

Dr. Azlan Tariq, DO

Title

Ceo

Phone

(212) 201-1252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1184522559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WILLOUGHBY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054590",
            "telephone_number": "212-201-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022611",
            "telephone_number": "212-201-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERTEND MEDICAL SERVICES IN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "AZLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-201-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Rehabilitation Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.