Hoosier Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

53000059A Issued in IN

Legal business name

HOOSIER PHYSICAL THERAPY LLC

Practice address

3030 Lake Ave
Suite 26
Fort Wayne, IN 46805-5428

Phone

(260) 420-4400

Fax

(260) 420-4448

NPI assigned

Aug 5, 2006

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Felix Barile, D.C.,P.T.NPI 1184633703

Title

Co-Owner

Phone

(260) 420-4400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Hoosier Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hoosier Physical Therapy

  • Specialist
  • Fort Wayne, IN
  • NPI 1487862207
  NPD tax ID
• Hoosier Physical Therapy

  dba Kendallville Physical Therapy

  • Physical Therapist
  • Kendallville, IN
  • NPI 1700911815
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Felix Barile, D.C.,P.T.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1184633703
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffery Lee Ciocca, PT

  • Physical Therapist
  • Kendallville, IN
  • NPI 1255340899
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1932118593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350034",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436350034",
            "telephone_number": "260-420-4400",
            "fax_number": "260-420-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE",
            "address_2": "SUITE 26",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-420-4400",
            "fax_number": "260-420-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "260-420-4400",
        "authorized_official_credential": "D.C.,P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "53000059A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250170A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250170B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy #06509)
• Hook-Superx LLC (CVS Pharmacy #17496)
• Bruce A. Hook, MD
• Sean Richard Hoos, PHARMD
• Hoosier Physical Therapy
• Hoosier Sports & Chiropractic LLC
• Abbi Hoover
• Darlene K Hoover, PA-C
• Irene T Hoover, N.P.
• Kara Rae Hoover, NP

• 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 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.