Individual provider Active NPI

Mary E McHugh, PT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1265558191
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001591A Issued in IN
Practice address
1503 Livingston Lakes Way
Fort Wayne, IN 46818
Phone
(574) 551-1148
NPI assigned
Mar 22, 2007
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100159290 AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000452 IN Practitioner - Physical Therapist in Private Practice 3779524632 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38886CAMDGeneral Practice Dentistry
LPT-31077AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Therapy on Wheels, Inc. Physical Therapist CurrentSince Jul 25, 2025 Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc Past Accepting new patients
Strength Training Inc PastSince Jan 1, 2020 Accepting new patients
New Moves Health Systems, Inc. Physical Therapist PastSince Mar 18, 2010 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.

View all 13

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.

Verify at the official NPI Registry.