Individual provider Active NPI

Colleen Spieth, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1467930362
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013031A Issued in IN
Practice address
12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone
(260) 739-0300
Fax
(260) 818-2299
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X 05013031A IN Primary

Addresses

Primary practice location

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

Mailing address

6015 Oakmont Rd
Fort Wayne, IN 46816-3545
Phone (260) 417-5127

Other names 1

  • Colleen Quigley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000272 IN Practitioner - Physical Therapist in Private Practice 7517337801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Indiana Medical College, School of Medicine of Purdue University, 2018
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

State licenses

LicenseStateTypeSpecialty
05013031AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Protailored Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Indiana Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

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 2

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1467930362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 OAKMONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468163545",
            "telephone_number": "260-417-5127",
            "fax_number": "260-459-9262"
        },
        {
            "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": "SPIETH",
        "first_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "QUIGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 30, 2026; 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.