Active NPI
John J Straessle, P.T.
- Physical Therapist
- Fort Wayne, IN
National Provider Identifier
1184640930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002439A
- Practice address
- 3840 New Vision Dr
Fort Wayne, IN 46845-1708 - Phone
- (260) 483-2422
- Fax
- (260) 471-0768
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05002439A | IN | Primary |
Addresses
Primary practice location
3840 New Vision Dr
Fort Wayne, IN 46845-1708
Mailing address
7002 County Road 35
Auburn, IN 46706-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1184640930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 COUNTY ROAD 35",
"city": "AUBURN",
"state": "IN",
"postal_code": "467069670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-483-2422",
"fax_number": "260-471-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAESSLE",
"first_name": "JOHN",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002439A",
"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 Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.