Active NPI
Tippmann Physical Therapy, LLC
- Orthopedic Physical Therapist
- Fort Wayne, IN
National Provider Identifier
1831740117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- TIPPMANN PHYSICAL THERAPY, LLC
- Practice address
- 3110 Mallard Cove LN
Fort Wayne, IN 46804-2882 - Phone
- (260) 431-8198
- NPI assigned
- Sep 26, 2019
- 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
- Dr. Jennifer Marie Tippmann, PT, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (260) 431-8198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
3110 Mallard Cove LN
Fort Wayne, IN 46804-2882
Mailing address
3110 Mallard Cove LN
Fort Wayne, IN 46804-2882
Phone (260) 431-8198
National Provider Directory
National Provider DirectoryLocations
3110 Mallard Cove Ln
Fort Wayne, IN 46804
Phone (260) 223-9133
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Fort Wayne, IN
- NPI 1598421760
-
- Physical Therapy Assistant
- Fort Wayne, IN
- NPI 1508523697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569456000000",
"number": "1831740117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 MALLARD COVE LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042882",
"telephone_number": "260-431-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 MALLARD COVE LN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042882",
"telephone_number": "260-431-8198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIPPMANN PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A",
"authorized_official_last_name": "TIPPMANN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "260-431-8198",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"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 Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.