Active NPI
Adrienne Lesley Donze, PTA
- Physical Therapy Assistant
- Fort Wayne, IN
National Provider Identifier
1952681975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06003525A
- Practice address
- 5202 Saint Joe Rd
Fort Wayne, IN 46835-3380 - Phone
- (260) 485-6068
- NPI assigned
- Aug 22, 2011
- Last updated
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 06003525A | IN | Primary |
Addresses
Primary practice location
5202 Saint Joe Rd
Fort Wayne, IN 46835-3380
Mailing address
10103 Privet Dr
Fort Wayne, IN 46835-9183
Phone (260) 227-1389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003525A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1952681975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10103 PRIVET DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468359183",
"telephone_number": "260-227-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 SAINT JOE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353380",
"telephone_number": "260-485-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONZE",
"first_name": "ADRIENNE",
"middle_name": "LESLEY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003525A",
"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 Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.