Protailored Physical Therapy Llc - Medicare Physical Therapist in Fort Wayne, IN

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Protailored Physical Therapy Llc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Fort Wayne, Indiana. Their current practice location is 12722 Tonkel Rd Ste 102, Fort Wayne, Indiana. You can reach out to their office (for appointments etc.) via phone at (260) 739-0300.

Protailored Physical Therapy Llc is licensed to practice in Indiana (license number 05011654A) and it also participates in the medicare program. Protailored Physical Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063805042.

Contact Information

Protailored Physical Therapy Llc
12722 Tonkel Rd Ste 102,
Fort Wayne, IN 46845-8201
(260) 739-0300
(260) 818-2299

Map and Direction




Healthcare Provider's Profile

Full NameProtailored Physical Therapy Llc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location12722 Tonkel Rd Ste 102, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063805042
  • Provider Enumeration Date: 03/14/2015
  • Last Update Date: 06/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385962497
  • Enrollment ID: O20150421000554

Medical Identifiers

Medical identifiers for Protailored Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063805042NPI-NPPES
201289250AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 05011654A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Protailored Physical Therapy Llc acts as a billing entity for following providers:
Provider NameJonathan T Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033493622
PECOS PAC ID: 4284952391
Enrollment ID: I20150421000673
Provider NameMitchell M Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295213114
PECOS PAC ID: 2567707052
Enrollment ID: I20190103001268
Provider NameKirsten Atchison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699333955
PECOS PAC ID: 9931435245
Enrollment ID: I20190724002729
Provider NameAmanda B Robinett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235609553
PECOS PAC ID: 6204268634
Enrollment ID: I20191122001938
Provider NameZachary A Schmucker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225650518
PECOS PAC ID: 5597186346
Enrollment ID: I20200602002705
Provider NameEmily M Bruce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154943934
PECOS PAC ID: 1759703671
Enrollment ID: I20200623002411
Provider NameKatlin R Couchman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063037174
PECOS PAC ID: 3375968837
Enrollment ID: I20200731001265
Provider NameMatt C Paul
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245840370
PECOS PAC ID: 3870919889
Enrollment ID: I20200820000875
Provider NameKaitlyn Leugers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699151720
PECOS PAC ID: 8123427861
Enrollment ID: I20210528001016
Provider NameCaleb S Gabler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245804558
PECOS PAC ID: 4486055738
Enrollment ID: I20210624002037
Provider NameChelsea R Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154995470
PECOS PAC ID: 2062817737
Enrollment ID: I20210818000878
Provider NameRachel Stillaway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306494505
PECOS PAC ID: 4486985884
Enrollment ID: I20211022002030
Provider NameCarly Kauwela Harris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417579087
PECOS PAC ID: 0941621114
Enrollment ID: I20211104001486
Provider NameRachael M Rothgeb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356090500
PECOS PAC ID: 2264810787
Enrollment ID: I20220610002385
Provider NameKelsey M Habermehl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093457368
PECOS PAC ID: 6800279886
Enrollment ID: I20220824002254
Provider NameColleen Quigley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467930362
PECOS PAC ID: 7517337801
Enrollment ID: I20230103000272
Provider NameLisa Douglas
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1760842215
PECOS PAC ID: 9537530613
Enrollment ID: I20230127002178
Provider NameLandon Pence
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598457954
PECOS PAC ID: 5395106504
Enrollment ID: I20230804000419
Provider NameJanet Allen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548969926
PECOS PAC ID: 0244603603
Enrollment ID: I20230906001909
Provider NameGretchen Maty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922878826
PECOS PAC ID: 4284075946
Enrollment ID: I20240513000512
Provider NameWilliam M Magda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780440180
PECOS PAC ID: 3173065927
Enrollment ID: I20240607000870

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Protailored Physical Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Protailored Physical Therapy Llc
12722 Tonkel Rd Ste 102,
Fort Wayne, IN 46845-8201

Ph: (260) 739-0300		Protailored Physical Therapy Llc
12722 Tonkel Rd Ste 102,
Fort Wayne, IN 46845-8201

Ph: (260) 739-0300

Reviews and Comments


Physical Therapist in Fort Wayne, IN

Mrs. Dawn Rochner Lang, M.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809
Phone: 260-747-2353    
Tia Schrader, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4251 Lahmeyer Rd, Fort Wayne, IN 46815
Phone: 260-432-4700    
Mr. Todd Michael Sullivan, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7930 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-432-5800    Fax: 260-432-9555
Deborah Guebard, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805
Phone: 260-483-2100    
Mr. David L Kuhn, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809
Phone: 260-478-5230    Fax: 260-478-5235
Ms. Andrea Jantson Smith, MSPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845
Phone: 260-266-7400    Fax: 260-266-7439
Elaine Coleman Prouty,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818
Phone: 260-497-0328    

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