Hoosier Physical Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HOOSIER PHYSICAL THERAPY

Practice address

3217 Lake Ave
Fort Wayne, IN 46805-5427

Phone

(419) 539-7701

Fax

(419) 539-7718

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Judy Sink

Title

Manager

Phone

(419) 539-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hoosier Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hoosier Physical Therapy

  dba Kendallville Physical Therapy

  • Physical Therapist
  • Kendallville, IN
  • NPI 1700911815
  NPD tax ID
• Hoosier Physical Therapy LLC

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1932118593
  NPD tax ID

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487862207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2574",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468012574",
            "telephone_number": "419-539-7701",
            "fax_number": "419-539-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055427",
            "telephone_number": "419-539-7701",
            "fax_number": "419-539-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-539-7701"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000112072",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy #06519)
• Hook-Superx LLC (CVS Pharmacy #06509)
• Hook-Superx LLC (CVS Pharmacy #17496)
• Bruce A. Hook, MD
• Sean Richard Hoos, PHARMD
• Hoosier Physical Therapy LLC
• Hoosier Sports & Chiropractic LLC
• Abbi Hoover
• Darlene K Hoover, PA-C
• Irene T Hoover, N.P.

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• 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.