Protailored Physical Therapy Llc, NPI 1063805042
Orthopedic Physical Therapist in Fort Wayne, IN, US

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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
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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

2251X0800X

Taxonomy Name Orthopedic Physical Therapist
Classification

Physical Therapist

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.

Business Address

Protailored Physical Therapy Llc
12722 Tonkel Rd Ste 102

Fort Wayne, IN, US

Phone: 260-739-0300
Fax: 260-818-2299

Mailing Address

Protailored Physical Therapy Llc
12722 Tonkel Rd Ste 102
Fort Wayne, IN, US
ZIP 468458201
Phone: 260-739-0300
Fax: 260-818-2299

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

1528516226

Nicole M Blauvelt

Individual

Nurse Practitioner

11109 Parkview Plaza Dr

Fort Wayne, IN

1942597141

PA-C Kristin E Pletcher

Individual

Physician Assistant

3909 New Vision Dr

Fort Wayne, IN

1184686743

DR. MD David J Wittbrodt

Individual

Orthopaedic Surgery Physician

1169 N Main St Ste 7

Bluffton, IN

1366604480

D.O. Ellen Szwed

Individual

Hematology & Oncology Physician

11050 Parkview Circle Dr

Fort Wayne, IN

1952025025

MS. Andrea Jo Lynne Adams

Individual

Mental Health Counselor

4444 Jamestown Ct Apt F

Indianapolis, IN

1285098400

Melissa Lucio

Individual

Family Nurse Practitioner

3512 Stellhorn Rd

Fort Wayne, IN

1588016174

FNP-C Colleen Conwell

Individual

Family Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1326030297

MD David E Schleinkofer

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1033561139

Nicole Heller

Individual

Nurse Practitioner

11104 Parkview Circle Dr Ste 20

Fort Wayne, IN

1114189305

DR. M.D., Ahmed Zakria Youssef Elmaadawi

Individual

Psychiatry Physician

707 N Michigan St Ste 400

South Bend, IN

1013307131

Kara Yackee

Individual

Nurse Practitioner

3909 New Vision Dr

Fort Wayne, IN

1275608929

DR. MD Steven W Cohen

Individual

Gastroenterology Physician

11104 Parkview Circle Dr Ste 310

Fort Wayne, IN

1689833279

MD Julie A Tillman

Individual

Obstetrics & Gynecology Physician

11123 Parkview Plaza Dr

Suite 101

Fort Wayne, IN

1790857423

DR. M.D. Rebecca E Minser

Individual

Internal Medicine Physician

1234 E Dupont Rd Ste 3

Fort Wayne, IN

1427400886

Jennifer Vanzant

Individual

Nurse Practitioner

2200 Randallia Dr

Fort Wayne, IN

1083820286

DR. M.D. Dona M Uncheselu

Individual

Hospice and Palliative Medicine (Family Medicine) Physician

11109 Parkview Plaza Dr

Fort Wayne, IN

1033367123

MD Amy K Sadler

Individual

Family Medicine Physician

1270 E S.r. 205, Suite 240

Columbia City, IN

1629070032

MD Kevin K Hart

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1245687284

MD Megan C. Lemon

Individual

Family Medicine Physician

11055 Twin Creeks Cv

Fort Wayne, IN

1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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