Jeana Marie Marren – Physical Therapist

Key facts

NPI: 1720567167
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 05012968A (IN)
Practice address: 1005 N Hickory Rd
South Bend, IN 46615-2280
Phone: (574) 233-5754
NPI assigned: Aug 7, 2018
Sex: Female
Sole proprietor: No

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.

McDonald Physical Therapy and Sports Rehabilitation Center Physical Therapy Assistant · South Bend, IN · NPI 1710863691

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
05012968A	IN	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
McDonald Physical Therapy and Sports Rehabilitation Center		Current since Aug 17, 2025	Accepting new patients

Locations

1005 N Hickory Rd
South Bend, IN 46615
Phone (574) 233-5754

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	05012968A	IN	Yes

Addresses

Primary practice location

1005 N Hickory Rd
South Bend, IN 46615-2280

Mailing address

917 Gladewood Dr Apt 1a
Mishawaka, IN 46544-8908
Phone (269) 635-2752

Other providers in South Bend, IN

All providers in South Bend, 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 Aug 7, 2018. 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.

Verify at the official NPI Registry.