Individual provider Active NPI

Anne E Dennis, MS PT

  • Specialist
  • Fort Wayne, IN
National Provider Identifier
1639275159
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
05002425A Issued in IN
Practice address
3898 New Visions Drive
Suite D Hands on Physical Therapy
Fort Wayne, IN 46845
Phone
(260) 483-1010
Fax
(260) 483-1011
NPI assigned
Sep 15, 2006
Last updated
Sep 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05002425A IN
Specialist 174400000X 05002425A IN Primary

Addresses

Primary practice location

3898 New Visions Drive
Suite D Hands on Physical Therapy
Fort Wayne, IN 46845

Mailing address

3898 New Visions Drive
Suite D Hands on Physical Therapy
Fort Wayne, IN 46845
Phone (260) 483-1010

Other identifiers 2

IdentifierTypeStateIssuer
000000245358OtherINANTHEM PIN NUMBER
200431440MedicaidIN

Other names 1

  • Ms. Anne E Lemasters Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05002425AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands on Physical Therapy, LLC Physical Therapy Past Accepting new patients
The Chiropractic Rehabilitation and Wellness Center, Inc Physical Therapy PastSince Mar 1, 2020 Accepting new patients
Integrative Health LLC Physical Therapy PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1639275159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 NEW VISIONS DRIVE",
            "address_2": "SUITE D HANDS ON PHYSICAL THERAPY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-483-1010",
            "fax_number": "260-483-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 NEW VISIONS DRIVE",
            "address_2": "SUITE D HANDS ON PHYSICAL THERAPY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-483-1010",
            "fax_number": "260-483-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ANNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05002425A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "05002425A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000245358",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200431440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "LEMASTERS",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "MS, PT",
            "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 Sep 2, 2008; 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.