Protailored Physical Therapy LLC
About this NPIWhat this record shows.
NPI 1063805042 is registered to Protailored Physical Therapy LLC, a healthcare organisation classified as "Orthopedic Physical Therapist" and located at 12722 Tonkel Rd Ste 102 in Fort Wayne, Indiana. The organisation's authorised official is Jonathan Evans. The organisation has been enumerated in the NPI registry since 2015.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20150421000554Physical/Occupational Therapy Group in Private PracticeIN
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Protailored Physical Therapy LLC accepts. To confirm in-network status with your specific health plan, contact Protailored Physical Therapy LLC directly at (260) 739-0300.
Frequently asked
Yes. NPI 1063805042 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Orthopedic Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (260) 739-0300.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Protailored Physical Therapy LLC is a Type-2 organisational NPI.