Active NPI
Amy Jo Biedenbach, PT MHS
- Physical Therapist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008196A
- Practice address
- 11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728 - Phone
- (260) 266-7400
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008196A | IN | Primary |
Addresses
Primary practice location
11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 266-6013
Other practice location 1
8028 Carnegie Blvd
Suite 300
Fort Wayne, IN 46804-5788
Phone (260) 969-8992
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1424 | Other | IN | PHP |
| N285555 | Other | IN | HARMONY |
| 200476530A | Medicaid | IN | |
| 35179001202 | Other | IN | CARESOURCE |
| 4423623 | Other | IN | AETNA |
| 000000345430 | Other | IN | ANTHEM BCBS |
| 156572 | Other | IN | MEDICARE |
Other names 1
- Miss Amy Jo Sommers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11143 Parkview Plaza Dr
Fort Wayne, IN 46845-1728
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008196A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Current | Accepting new patients | |
| Indiana Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
8028 Carnegie Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 425-6650
11143 Parkview Plaza Dr
Ste 100
Fort Wayne, IN 46845
Phone (260) 266-7400
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Physical Therapy Clinic/Center
- Bluffton, IN
- NPI 1629110192
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1861552234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701",
"telephone_number": "260-266-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11143 PARKVIEW PLAZA DR STE 100",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451728",
"telephone_number": "260-266-7400"
}
],
"practiceLocations": [
{
"address_1": "8028 Carnegie Blvd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468045788",
"country_code": "US",
"telephone_number": "260-969-8992",
"fax_number": "260-969-8993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIEDENBACH",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PT MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008196A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1424",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY",
"identifier": "N285555",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200476530A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "35179001202",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4423623",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000345430",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "156572",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SOMMERS",
"middle_name": "JO",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 1, 2021; 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.