Physical Therapy Professionals PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

05004733A Issued in IN

Legal business name

PHYSICAL THERAPY PROFESSIONALS PC

Practice address

932 Parkway Ave
Ste. B
Elkhart, IN 46516

Phone

(574) 293-4512

Fax

(574) 293-4513

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Marek Serwatka, P.T.NPI 1821369091

Title

Owner

Phone

(574) 293-4512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marek Serwatka, PT

  • Physical Therapist
  • Elkhart, IN
  • NPI 1821369091
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1588920128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 PARKWAY AVE",
            "address_2": "STE. B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169344",
            "telephone_number": "574-293-4512",
            "fax_number": "574-293-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 PARKWAY AVE",
            "address_2": "STE. B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46516",
            "telephone_number": "574-293-4512",
            "fax_number": "574-293-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SERWATKA",
        "authorized_official_first_name": "MAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-293-4512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05004733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Rose Petty, MSW, LSW
• Pamela Lynn Pfail, LAT ATC
• Robert Larry Pfeil, PHD
• Amy M Phebus, PTA
• Chelsea Philpot
• Pillar Technologies, LLC
• Kristina Piner, DDS
• Gina Piraccini
• Elise Placke
• Planned Parenthood of Indiana Elkhart

• Physical Therapy Clinic/Center in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.