Summit Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05002908A Issued in IN

Legal business name

SUMMIT PHYSICAL THERAPY LLC

Practice address

6210 Lima Rd
Fort Wayne, IN 46818-1428

Phone

(260) 484-9491

Fax

(260) 484-9451

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andreas Lohmar, PTNPI 1124245949

Title

Owner

Phone

(260) 484-9491

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andreas Lohmar, PT

  • Physical Therapist
  • Ft. Wayne, IN
  • NPI 1124245949
  Medicare reassignment Care Compare group NPD Authorized official
• Gretchen Jayne Espich, MSPT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1932367877
  Medicare reassignment Care Compare group NPD
• Ashley N Holt, DPT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1548639511
  Medicare reassignment Care Compare group NPD
• Sandra Altman, P.T.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1417279266
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1396825840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181428",
            "telephone_number": "260-484-9491",
            "fax_number": "260-484-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181428",
            "telephone_number": "260-484-9491",
            "fax_number": "260-484-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7513 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044131",
            "country_code": "US",
            "telephone_number": "260-206-6164",
            "fax_number": "260-209-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "LOHMAR",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-484-9491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002908A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "235360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 2, 2021; 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.