Individual provider Active NPI

Ryan Reimschisel, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1407644792
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone
(260) 739-0300
Fax
(260) 818-2299
NPI assigned
Apr 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201

Mailing address

2122 Ardmore Ave Unit 118
Fort Wayne, IN 46802-4852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000773 IN Practitioner - Physical Therapist in Private Practice 2961915541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Protailored Physical Therapy LLCGroup PAC ID 4385962497, 23 clinicians

Practice addresses (Care Compare)

12722 Tonkel Rd
Suite 102
Fort Wayne, IN 46845-8201
Phone (260) 739-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Protailored Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

3730 Maplecrest Rd
Fort Wayne, IN 46815
Phone (260) 739-0300

12722 Tonkel Rd
Ste 102
Fort Wayne, IN 46845
Phone (260) 739-0300

14413 Illinois Rd
Ste D
Fort Wayne, IN 46814
Phone (260) 739-0300

4011 W Jefferson Blvd
Ste 175
Fort Wayne, IN 46804
Phone (260) 436-4438

1520 N Hill Dr
Fort Wayne, IN 46825
Phone (260) 739-0300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1407644792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 ARDMORE AVE UNIT 118",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468024852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 TONKEL RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458201",
            "telephone_number": "260-739-0300",
            "fax_number": "260-818-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMSCHISEL",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.