Dream Big Therapy, LLC
Organization Active NPI Physical Therapist · Fort Wayne, IN
NPI 1548435902 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1548435902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05001372 (IN)
- Legal business name
- DREAM BIG THERAPY, LLC
- Practice address
- 8621 Medicine Bow Run
Fort Wayne, IN 46825-6252 - Phone
- (260) 704-2755
- Fax
- (260) 489-2755
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rita Anne Spears, PT
- Title
- Owner
- Phone
- (260) 704-2755
Practitioners 1
-
Rita A. Spears, PT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 05001372 | IN | Yes |
Addresses
Primary practice location
8621 Medicine Bow Run
Fort Wayne, IN 46825-6252
Mailing address
8621 Medicine Bow Run
Fort Wayne, IN 46825-6252
Phone (260) 704-2755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200729370A | Medicaid | IN |
Other providers in Fort Wayne, IN
- John E Drake
- Leslie D Draper
- Demontri Draughn Jr.
- Drayer Physical Therapy Indiana LLC
- Todd Drayer
- Olivia Drerup
- Courtney Dressler
- Dawson Drewery
- Sarah Eileen Drexinger
- Madelon Joan Dribble
All providers in Fort Wayne, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.