Rita A. Spears, PT

Individual provider Active NPI Physical Therapist · North Manchester, IN

NPI 1497890636 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1497890636
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1372 (IN)
Practice address
6235 E 1100 N
North Manchester, IN 46962-8160
Phone
(260) 982-0711
Fax
(260) 489-2755
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1372INMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Big Therapy, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1372 IN Yes

Addresses

Primary practice location

6235 E 1100 N
North Manchester, IN 46962-8160

Mailing address

8621 Medicine Bow Run
Fort Wayne, IN 46825-6252
Phone (260) 489-2755

Other names

  • Miss Rita A. Hunnicutt Former name

Other providers in North Manchester, IN

All providers in North Manchester, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.