Protailored Physical Therapy Llc, NPI 1063805042
Orthopedic Physical Therapist in Fort Wayne, IN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1063805042 |
| NPI Entity Type | Organization |
| Provider Name | Protailored Physical Therapy Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 12722 Tonkel Rd Ste 102, Fort Wayne, IN, US |
| Provider Mailing Address | 12722 Tonkel Rd Ste 102, Fort Wayne, IN, US, 468458201 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PT, DPT Jonathan T Evans |
| Official Position | PHYSICAL THERAPIST/OWNER |
| Phone | 260-570-8239 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Orthopedic Physical Therapist |
| Classification | |
| Group |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License No. | 05011654A |
| License State | IN |
| Description | A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| OTHERS | www.protailored.com | No | 12722 Tonkel Rd Ste 102, Fort Wayne, IN, US |
Other Providers in IN, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Nicole M Blauvelt Individual |
11109 Parkview Plaza Dr |
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PA-C Kristin E Pletcher Individual |
3909 New Vision Dr |
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DR. MD David J Wittbrodt Individual |
1169 N Main St Ste 7 |
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D.O. Ellen Szwed Individual |
11050 Parkview Circle Dr |
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MS. Andrea Jo Lynne Adams Individual |
4444 Jamestown Ct Apt F |
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Melissa Lucio Individual |
3512 Stellhorn Rd |
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FNP-C Colleen Conwell Individual |
3909 New Vision Dr |
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MD David E Schleinkofer Individual |
11108 Parkview Circle Dr |
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Nicole Heller Individual |
11104 Parkview Circle Dr Ste 20 |
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DR. M.D., Ahmed Zakria Youssef Elmaadawi Individual |
707 N Michigan St Ste 400 |
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Kara Yackee Individual |
3909 New Vision Dr |
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DR. MD Steven W Cohen Individual |
11104 Parkview Circle Dr Ste 310 |
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MD Julie A Tillman Individual |
11123 Parkview Plaza Dr Suite 101 |
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DR. M.D. Rebecca E Minser Individual |
1234 E Dupont Rd Ste 3 |
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Jennifer Vanzant Individual |
2200 Randallia Dr |
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DR. M.D. Dona M Uncheselu Individual |
11109 Parkview Plaza Dr |
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MD Amy K Sadler Individual |
1270 E S.r. 205, Suite 240 |
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MD Kevin K Hart Individual |
11108 Parkview Circle Dr |
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|
MD Megan C. Lemon Individual |
11055 Twin Creeks Cv |
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|
Kelcie Marie Small Individual |
6437 Rucker Rd Ste D |
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