Organization Active NPI

Shield Physical Therapy and Injury Prevention LLC

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1831991884
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHIELD PHYSICAL THERAPY AND INJURY PREVENTION LLC
Doing business as
Shield PT
Practice address
5928 Trier Rd
Fort Wayne, IN 46815-5231
Phone
(260) 408-8352
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Dr. Nathan Paul Miller, DPT, ATCNPI 1558815712
Title
Owner
Phone
(765) 419-6203

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5928 Trier Rd
Fort Wayne, IN 46815-5231

Mailing address

8806 Greenmeadow Dr
New Haven, IN 46774-1827
Phone (765) 419-6203

Other names 1

  • Shield PT Doing business as

National Provider Directory

National Provider Directory

Locations

5928 Trier Rd
Fort Wayne, IN 46815
Phone (260) 408-8352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1831991884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 GREENMEADOW DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741827",
            "telephone_number": "765-419-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 TRIER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155231",
            "telephone_number": "260-408-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD PHYSICAL THERAPY AND INJURY PREVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-419-6203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shield PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.