Active NPI
Inside Track Physical Therapy & Wellness
- Physical Therapy Clinic/Center
- Goshen, IN
National Provider Identifier
1356051593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- INSIDE TRACK PHYSICAL THERAPY & WELLNESS
- Doing business as
- Inside Track Physical Therapy & Wellness
- Practice address
- 1400 Fairfield Ave
Goshen, IN 46526-4488 - Phone
- (574) 971-1815
- NPI assigned
- Nov 29, 2022
- Last updated
- Nov 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Rae Stack Applegate, PT, DPT
- Title
- Physical Therapist
- Phone
- (574) 971-1815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1400 Fairfield Ave
Goshen, IN 46526-4488
Mailing address
215 Carter Rd
Goshen, IN 46526-5203
Phone (574) 971-1815
Other names 1
- Inside Track Physical Therapy & Wellness
National Provider Directory
National Provider DirectoryLocations
1400 Fairfield Ave
Goshen, IN 46526
Phone (574) 971-1815
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Goshen, IN
- NPI 1710468400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1356051593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CARTER RD",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265203",
"telephone_number": "574-971-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FAIRFIELD AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264488",
"telephone_number": "574-971-1815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIDE TRACK PHYSICAL THERAPY & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "APPLEGATE",
"authorized_official_first_name": "JAIME",
"authorized_official_middle_name": "RAE STACK",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "574-971-1815",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inside Track Physical Therapy & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.