NPIMap

Organization Active NPI

Physiotherapy Associates

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1417027772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOTHERAPY ASSOCIATES
Practice address
2464 Getz Rd
Fort Wayne, IN 46804-1632
Phone
(260) 436-9710
Fax
(260) 436-9419
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Leech
Title
Controller
Phone
(901) 685-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IN Primary

Addresses

Primary practice location

2464 Getz Rd
Fort Wayne, IN 46804-1632

Mailing address

3250 Players Club Pkwy
Memphis, TN 38125-8844
Phone (901) 685-7227

Other identifiers 1

IdentifierTypeStateIssuer
000000175000OtherINANTHEM

National Provider Directory

National Provider Directory
Tax ID family
Physiotherapy C Winches300 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

2464 Getz Rd
Fort Wayne, IN 46804
Phone (260) 436-9710

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417027772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 PLAYERS CLUB PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258844",
            "telephone_number": "901-685-7227",
            "fax_number": "901-748-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 GETZ RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041632",
            "telephone_number": "260-436-9710",
            "fax_number": "260-436-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "901-685-7227"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000175000",
            "state": "IN"
        }
    ],
    "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 Aug 22, 2020; 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.