Organization Active NPI

Inside Track Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Goshen, IN
National Provider Identifier
1356051593
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Jaime Rae Stack Applegate, PT, DPTNPI 1710468400
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.