NPIMap

Organization Active NPI

Maple Seed Farms, Inc.

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1205583002
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MAPLE SEED FARMS, INC.
Doing business as
Maple Seed Farms, Inc.
Maple Seed Farms,Inc
Practice address
101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone
(260) 415-8189
Fax
(260) 489-1777
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MAPLE SEED FARMS,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Cynthia Kacsor
Title
Executive Director
Phone
(260) 489-1774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

101 W Dupont Rd
Fort Wayne, IN 46825-1915

Mailing address

101 W Dupont Rd
Fort Wayne, IN 46825-1915
Phone (260) 415-8189

Other names 2

  • Maple Seed Farms, Inc. Doing business as
  • Maple Seed Farms,Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maple Seed Farms Inc2 organizations share this tax ID, including this one
Part of
Maple Seed Farms Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 W DuPont Rd
Fort Wayne, IN 46825
Phone (260) 489-1774

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1205583002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915",
            "telephone_number": "260-415-8189",
            "fax_number": "260-489-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251915",
            "telephone_number": "260-415-8189",
            "fax_number": "260-489-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SEED FARMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAPLE SEED FARMS,INC.",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "KACSOR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-489-1774"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Seed Farms, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Seed Farms,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2022; 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.