Individual provider Active NPI

Josephine Rammel, OT

  • Occupational Therapist
  • Fort Wayne, IN
National Provider Identifier
1750130712
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone
(260) 739-0300
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201

Mailing address

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone (260) 739-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003099 IN Practitioner - Occupational Therapist in Private Practice 9436697166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Protailored Physical Therapy LLCGroup PAC ID 4385962497, 23 clinicians

Practice addresses (Care Compare)

12722 Tonkel Rd
Suite 102
Fort Wayne, IN 46845-8201
Phone (260) 739-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Protailored Physical Therapy LLC CurrentSince Jul 10, 2024 Accepting new patients

Locations

1520 N Hill Dr
Fort Wayne, IN 46825
Phone (260) 739-0300

4011 W Jefferson Blvd
Ste 175
Fort Wayne, IN 46804
Phone (260) 436-4438

12722 Tonkel Rd
Ste 102
Fort Wayne, IN 46845
Phone (260) 739-0300

3730 Maplecrest Rd
Fort Wayne, IN 46815
Phone (260) 739-0300

14413 Illinois Rd
Ste D
Fort Wayne, IN 46814
Phone (260) 739-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1750130712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 TONKEL RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458201",
            "telephone_number": "260-739-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 TONKEL RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458201",
            "telephone_number": "260-739-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMMEL",
        "first_name": "JOSEPHINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.