Individual provider Active NPI

Emily Nicole Vandermaden, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1821464603
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011764A Issued in IN
Practice address
9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone
(260) 497-7191
NPI assigned
Aug 17, 2015
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05011764A IN Primary

Addresses

Primary practice location

9823 Auburn Rd
Fort Wayne, IN 46825-2347

Mailing address

9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 497-7191

Other practice location 1

3805 S Calhoun St
Fort Wayne, IN 46807-2010
Phone (260) 497-7191

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10006 Auburn Park Dr
Fort Wayne, IN 46825-2389

4935 Fall Brook LN
Fort Wayne, IN 46835-9331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05011764AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steppin Up Physical Therapy, Inc. Physical Therapist CurrentSince Oct 27, 2015 Accepting new patients
Steppin Up Physical Therapy, Inc. CurrentSince Oct 27, 2015 Accepting new patients

Locations

10006 Auburn Park Dr
Fort Wayne, IN 46825
Phone (260) 247-8020

12844 Coldwater Rd
Ste B
Fort Wayne, IN 46845

3805 S Calhoun St
Fort Wayne, IN 46807
Phone 2604977191201

5800 Fairfield Ave
Ste 150
Fort Wayne, IN 46807
Phone (260) 744-5585

9823 Auburn Rd
Fort Wayne, IN 46825
Phone (260) 209-2769

Organizations & group practices 2

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1821464603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 AUBURN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252347",
            "telephone_number": "260-497-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9823 AUBURN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252347",
            "telephone_number": "260-497-7191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 S Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468072010",
            "country_code": "US",
            "telephone_number": "260-497-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERMADEN",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011764A",
            "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 Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.