Jared Wayne, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011203A Issued in IN

Practice address

4005 Lancaster Dr
Valparaiso, IN 46383-1953

Phone

(219) 510-2256

NPI assigned

Aug 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wayne Rehab LLC

  • Physical Therapist
  • Valparaiso, IN
  • NPI 1528620127
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1346672979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1702",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841702",
            "telephone_number": "219-510-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 LANCASTER DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831953",
            "telephone_number": "219-510-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2634 W Sequim Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983828421",
            "country_code": "US",
            "telephone_number": "219-510-2256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3691 Willowcreek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685076",
            "country_code": "US",
            "telephone_number": "219-759-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "JARED",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterleaf
• Waterleaf Counseling
• Sheila Watson, FNP-BC
• Michele L Watts, M.S., CCC-A, FAAA
• Wayne Rehab LLC
• We Care Dental & Health Services
• Alyssia Webb
• Dean Allen Webb, DDS
• Sheryl Rae Webb, OTR
• Philip Webster

• Physical Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.