Indiana Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INDIANA PHYSICAL THERAPY, INC

Practice address

10021 Dupont Circle Court
Fort Wayne, IN 46825

Phone

(260) 207-1637

Fax

(260) 459-9262

NPI assigned

Nov 7, 2014

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA PHYSICAL THERAPY, INC.As reported in NPPES

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

Authorized official

Name

Dru Nichole Bishop

Title

Credentialing Spec.

Phone

(260) 432-4700

Specialties & licenses 1

Addresses

Tax ID family

Indiana Physical Therap6 organizations share this tax ID, including this one

Part of

Indiana Physical Therap

Other organizations with this tax ID 5

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

• Indiana Physical Therapy Inc

  • Public Health or Welfare Agency
  • Fort Wayne, IN
  • NPI 1841534914
  NPD tax ID
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Warsaw, IN
  • NPI 1306244231
  NPD tax ID
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Elkhart, IN
  • NPI 1427535749
  NPD tax ID
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1427614452
  NPD tax ID
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Angola, IN
  • NPI 1780726257
  NPD tax ID

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1992101638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LAHMEYER RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46815",
            "telephone_number": "260-432-4700",
            "fax_number": "260-459-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE COURT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-207-1637",
            "fax_number": "260-459-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PHYSICAL THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA PHYSICAL THERAPY, INC.",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DRU",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPEC.",
        "authorized_official_telephone_number": "260-432-4700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Health and Rehabilitation Centers (Canterbury Nursing and Rehabilitation Center)
• Indiana Medical Associates, LLC
• Indiana Pathology Consultants, Inc.
• Indiana Pediatric Dental & Anesthesia LLC
• Indiana Physical Therapy Inc
• Indiana Plastic Surgery Center, PC
• Indiana Professional Psychological Services, P.C.
• Indiana Psychiatric Associates LLC (Indiana TMS)
• Indiana Retina Center LLC (Indiana Retina Center)
• Indiana Surgical Specialists, LLC

• Physical Therapy Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.