Active NPI
Mary E McHugh, PT
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001591A
- Practice address
- 1503 Livingston Lakes Way
Fort Wayne, IN 46818 - Phone
- (574) 551-1148
- NPI assigned
- Mar 22, 2007
- Last updated
- May 9, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001591A | IN | Primary |
| Physical Therapist | 225100000X | LPT-31077 | AZ |
Addresses
Primary practice location
1503 Livingston Lakes Way
Fort Wayne, IN 46818
Mailing address
1503 Livingston Lakes Way
Fort Wayne, IN 46818
Phone (574) 551-1148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100159290 A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38886 | CA | MD | General Practice Dentistry |
| LPT-31077 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Creative Health Care Management LLC | Physical Therapist | Current | Accepting new patients |
| Therapy on Wheels, Inc. | Physical Therapist | Current | Accepting new patients |
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients | |
| New Moves Health Systems, Inc. | Physical Therapist | Past | Accepting new patients |
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients |
Locations
11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
7125 Hanna St
Fort Wayne, IN 46816
Phone (260) 249-9818
10 S 9th St
Ste 4
Noblesville, IN 46060
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vertis Therapy
- Physical Therapist
- Fishers, IN
- NPI 1902350457
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
-
- Rehabilitation Clinic/Center
- Greenwood, IN
- NPI 1932654985
Physical Therapist
-
dba New Moves Physical Therapy
- Physical Therapist
- Warsaw, IN
- NPI 1396768297
-
- Physical Therapist
- Warsaw, IN
- NPI 1134685449
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1124479050
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1679326409
-
- Clinic/Center
- Santa Monica, CA
- NPI 1467700740
-
dba Vertis Therapy
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
dba STI Therapy Division
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1114921871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1265558191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 LIVINGSTON LAKES WAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46818",
"telephone_number": "574-551-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 LIVINGSTON LAKES WAY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46818",
"telephone_number": "574-551-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHUGH",
"first_name": "MARY",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2024-05-09",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001591A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31077",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100159290 A",
"state": "IN"
}
],
"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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.