Teresa Maciejewski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004289A Issued in IN

Practice address

1910 Saint Joe Center Rd Ste 33
Fort Wayne, IN 46825-5000

Phone

(260) 483-9933

Fax

(260) 483-9931

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Expectations, IncGroup PAC ID 5890893556, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthy Expectations, Inc

  • Physical Therapy Clinic/Center
  • Fort Wayne, IN
  • NPI 1023164423
  Medicare reassignment Care Compare group NPD Authorized official
• Mallers & Swoverland Orthopaedic Physical Therapy

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1700869732
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1922104454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 33",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-483-9933",
            "fax_number": "260-483-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SAINT JOE CENTER RD STE 33",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255000",
            "telephone_number": "260-483-9933",
            "fax_number": "260-483-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3844 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451708",
            "country_code": "US",
            "telephone_number": "260-483-9933",
            "fax_number": "260-483-9931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIEJEWSKI",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eileen Mace, DO
• Macgasgirl, LLC
• Christina P Machielson, DPT,OCS
• Margaret A Machlan, MSW, LCSW, LCAC
• Amanda Renee Macias
• Chelsie Mack
• Kyla Mack
• Lindsay Mack
• Lydiann Mack, RBT
• Chloe Mackay

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.