Active NPI
Mallers & Swoverland Orthopaedic Physical Therapy
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MALLERS & SWOVERLAND ORTHOPAEDIC PHYSICAL THERAPY
- Practice address
- 9602 Coldwater Rd
Suite 102
Fort Wayne, IN 46825-2095 - Phone
- (260) 489-9887
- Fax
- (260) 489-9121
- NPI assigned
- Nov 23, 2005
- Last updated
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Mallers, P.T.
- Title
- Therapist/Owner
- Phone
- (260) 489-9887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
9602 Coldwater Rd
Suite 102
Fort Wayne, IN 46825-2095
Mailing address
9602 Coldwater Rd
Suite 102
Fort Wayne, IN 46825-2095
Phone (260) 489-9887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ8713 | Other | IN | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7611 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-8454
7617 W Jefferson Blvd
Ste D
Fort Wayne, IN 46804
Phone (260) 436-8454
9039 Stellhorn Crossing Pkwy
Fort Wayne, IN 46815
Phone (260) 489-9727
9602 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 489-9887
9602 Coldwater Rd
Ste 102
Fort Wayne, IN 46825
Phone (260) 489-9887
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Physical Therapist
- Fort Wayne, IN
- NPI 1952393068
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- Physical Therapist
- Fort Wayne, IN
- NPI 1710875208
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- Physical Therapist
- Greencastle, IN
- NPI 1639913312
-
- Physical Therapist
- Columbia City, IN
- NPI 1184930240
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1366372344
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1871299438
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1407941800
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1396761151
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1487300232
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1992897045
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1407848419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1700869732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9602 COLDWATER RD",
"address_2": "SUITE 102",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252095",
"telephone_number": "260-489-9887",
"fax_number": "260-489-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 COLDWATER RD",
"address_2": "SUITE 102",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252095",
"telephone_number": "260-489-9887",
"fax_number": "260-489-9121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALLERS & SWOVERLAND ORTHOPAEDIC PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "MALLERS",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "260-489-9887",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CJ8713",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 1, 2023; 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.