Nideo Foster, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3731 W Cook Rd
Fort Wayne, IN 46818-9662

Phone

(260) 215-4490

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Health Care Management LLC

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  NPD
• Creative Health Care Management LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1316675150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 WISTERIA LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041741",
            "telephone_number": "260-446-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 W COOK RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189662",
            "telephone_number": "260-215-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 S Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468072010",
            "country_code": "US",
            "telephone_number": "260-497-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "NIDEO",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300066435",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carin Elisabeth Foss, NP-BC, RN
• Stephanie Foss
• Foster Park Counseling LLC
• Brooke Foster
• Jason Foster
• Richard Foster
• Susanne Foster
• Whitney R Foster, NP-C
• Kimberly K Foulks, RN
• Foundation Surgery Affiliate of Fort Wayne, LLC

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.