PAXXON HEALTHCARE SERVICES LLC (NPI# 1013253293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013253293 |
| Entity Type | Organization |
| Organization Name | PAXXON HEALTHCARE SERVICES LLC |
| Practice Address |
611 W County Line Rd S Fort Wayne IN 46814-7592 |
| Mailing Address |
10 New King St Suite 105 White Plains NY 10604-1205 |
| Practice Telephone | 2606251445 |
| Practice Fax Number | 2606251445 |
| Mailing Telephone | 9143909880 |
| Mailing Fax Number | 9143909881 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | ROGER BERKELY (PRESIDENT) |
| Authorized Official Telephone | 9143909880 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1083978894 | Paxxon Healthcare Services LLC | Occupational Therapist | 3663 Park Center Blvd, St Louis Park, MN 55416-2532 | 2012-06-26 |
| 1003174087 | Paxxon Healthcare Services LLC | Occupational Therapist | W180n7890 Town Hall Rd, Menomonee Falls, WI 53051-4050 | 2012-04-27 |
| 1649546573 | Paxxon Healthcare Services LLC | Occupational Therapist | 13850 N Frank Lloyd Wright Blvd, Scottsdale, AZ 85260-2828 | 2012-03-26 |
| 1629343991 | Paxxon Healthcare Services LLC | Occupational Therapist | 3575 N Moorpark Rd, Thousand Oaks, CA 91360-2666 | 2012-03-20 |
| 1063784148 | Paxxon Healthcare Services LLC | Occupational Therapist | 1035 Madison St, Oak Park, IL 60302-4449 | 2012-02-03 |
| 1609362136 | Paxxon Healthcare Services LLC | Occupational Therapist | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2018-07-09 |
| 1326432022 | Paxxon Healthcare Services LLC | Skilled Nursing Facility | 60 Ocean Ave, Manasquan, NJ 08736-3220 | 2015-03-20 |
| 1134563091 | Paxxon Healthcare Services LLC | Occupational Therapist | 515 Benton St, Seneca, SC 29672-6883 | 2013-04-23 |
| 1649511239 | Paxxon Healthcare Services LLC | Occupational Therapist | 655 Main St S, Southbury, CT 06488-4220 | 2013-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | PAXXON HEALTHCARE SERVICES LLC | 2222 Sullivan Trail, Easton, PA 18040 |
| Street Address |
611 W COUNTY LINE RD S |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46814-7592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652957 | Hearth At Sycamore Village | Assisted Living Facility | 611 W County Line Rd S, Fort Wayne, IN 46814-7592 | 2019-04-08 |
| 1114353620 | Karen Elizabeth Wardwell | Physical Therapist | 611 W County Line Rd S, Fort Wayne, IN 46814-7592 | 2013-09-17 |
| 1336571488 | Allison Lucy Shuler | Occupational Therapist | 611 W County Line Rd S, Fort Wayne, IN 46814-7592 | 2013-07-31 |
| 1518204338 | Jack Kevin Shumaker | Occupational Therapist | 611 W County Line Rd S, Fort Wayne, IN 46814-7592 | 2013-01-14 |
| 1255678074 | Evan Jay Detweiler | Occupational Therapist | 611 W County Line Rd S, Fort Wayne, IN 46814-7592 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
| 1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
| 1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
| 1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
| 1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
| Find all providers in zip 46814 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555640 | Kara Peas | Physical Therapist | 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN 46845-1733 | 2020-10-10 |
| 1639776016 | Kelsey Lin | Physical Therapist | 10088 N Clinton St, Fort Wayne, IN 46825-0012 | 2020-10-08 |
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1114544053 | Pradip Rai | Physical Therapist | 6327 Cornwallis Dr Apt 3a, Fort Wayne, IN 46804-8376 | 2020-06-26 |
| 1518583038 | Advanced Therapy and Performance LLC | Physical Therapist | 4106 Merchant Rd Rm A, Fort Wayne, IN 46818-1248 | 2020-06-20 |
| 1013542646 | Stephen Thomas Epley | Physical Therapist | 2715 West Dr, Fort Wayne, IN 46805-3626 | 2020-03-04 |
| 1295369304 | Sarah Botts | Physical Therapist | 12844 Coldwater Rd Ste Dc, Fort Wayne, IN 46845-8833 | 2020-02-27 |
| 1861040370 | Preston Thomas Wagner | Physical Therapist | 7617 W Jefferson Blvd Ste D, Fort Wayne, IN 46804-4164 | 2019-08-28 |
| 1972165272 | Emanuel Lucian Boar | Physical Therapist | 4106 Merchant Rd, Rm A, Fort Wayne, IN 46818-1248 | 2019-07-08 |
| 1568921849 | Alethea Napolis Dago-an | Physical Therapist | 302 E Essex Ln, Fort Wayne, IN 46825-5365 | 2019-03-17 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46814 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.