Organization Active NPI

Parkview Ortho Performance Center, LLC

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1215309976
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PARKVIEW ORTHO PERFORMANCE CENTER, LLC
Practice address
11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone
(260) 373-7100
NPI assigned
Oct 21, 2015
Organization subpart
Yes
Parent organization
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Julie Fleck
Title
SVP/Coo
Phone
(260) 672-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735

Mailing address

10501 Corporate Dr
Fort Wayne, IN 46845-1700
Phone (260) 266-7400

National Provider Directory

National Provider Directory
Part of
Orthopaedic Hospital at Parkview North LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5680 Ymca Park Dr W
Fort Wayne, IN 46835
Phone (260) 266-7396

1095 W Rudisill Blvd
Fort Wayne, IN 46807
Phone (260) 266-4006

2701 Spring St
Fort Wayne, IN 46808
Phone (260) 266-4006

2303 College Ave
Huntington, IN 46750
Phone (260) 266-4006

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1215309976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 CORPORATE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451700",
            "telephone_number": "260-266-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451735",
            "telephone_number": "260-373-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW ORTHO PERFORMANCE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SVP/COO",
        "authorized_official_telephone_number": "260-672-4003"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Oct 21, 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.

Verify at the official NPI Registry.