PROTAILORED PHYSICAL THERAPY LLC
NPI 1063805042
Physical Therapist - Orthopedic in Fort Wayne, IN
NPI Status: Active since March 14, 2015
Contact Information
12722 TONKEL RD STE 102
FORT WAYNE, IN
ZIP 46845
Phone: (260) 739-0300
Fax: (260) 818-2299
- Organization
- Physical Therapist
- Orthopedic
- Accepts Insurance
About PROTAILORED PHYSICAL THERAPY LLC
This page provides the complete NPI Profile along with additional information for Protailored Physical Therapy Llc, a provider established in Fort Wayne, Indiana operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1063805042 assigned on March 2015. The practitioner's primary taxonomy code is 2251X0800X with license number 05011654A (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jonathan T Evans Pt, Dpt (Physical Therapist/owner)
- NPI
- 1063805042
- Provider Name
- PROTAILORED PHYSICAL THERAPY LLC
- Entity Type
- Organization
- Location Address
- 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845
- Location Phone
- (260) 739-0300
- Location Fax
- (260) 818-2299
- Mailing Address
- 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845
- Mailing Phone
- (260) 739-0300
- Mailing Fax
- (260) 818-2299
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2015
- Last Update Date
- 06-01-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 05011654A
- License State
- IN
- Taxonomy 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201289250A | MEDICAID (05) | IN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 8 | 0 | 5 | 0 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 16 | 0 | 10 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 1 + 0 + 0 + 8 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1063805042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033493622 | JONATHAN EVANS DPT Individual | Physical Therapist (Orthopedic) | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1295213114 | DR. MITCHELL MAURICE HALL PT, DPT Individual | Physical Therapist (Orthopedic) | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1225650518 | ZACHARY SCHMUCKER DPT Individual | Physical Therapist (Orthopedic) | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1063037174 | KATLIN R COUCHMAN OTD Individual | Occupational Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1245840370 | MATT C PAUL DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1699333955 | KIRSTEN ATCHISON DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (269) 739-0300 |
| 1699151720 | KAITLYN LEUGERS PT, DPT Individual | Physical Therapist (Orthopedic) | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1154995470 | CHELSEA R JONES DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1245804558 | CALEB S GABLER DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1356090500 | RACHAEL M ROTHGEB DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1417579087 | CARLY KAUWELA HARRIS DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1467930362 | COLLEEN QUIGLEY DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1598457954 | LANDON PENCE DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1538924113 | BRENDEN G ZEISLOFT DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1265297956 | JARED P KAZMIERCZAK DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1780440180 | WILLIAM M MAGDA DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1922878826 | GRETCHEN MATY Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1124877980 | NICHOLAS ALLEN OT Individual | Occupational Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1750130712 | JOSEPHINE RAMMEL OT Individual | Occupational Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
| 1982434833 | SAMUEL POLING DPT Individual | Physical Therapist | 12722 TONKEL RD STE 102 FORT WAYNE, IN 46845 (260) 739-0300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063805042, enumerated in the NPI registry as an "organization" on March 14, 2015
The provider is located at 12722 Tonkel Rd Ste 102 Fort Wayne, In 46845 and the phone number is (260) 739-0300
This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 14, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.