MATT C PAUL (NPI# 1245840370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245840370 |
| Entity Type | Individual |
| Full Name | MATT C PAUL |
| Credential | DPT |
| Practice Address |
12722 Tonkel Rd Ste 102 Fort Wayne IN 46845-8201 |
| Mailing Address |
612 Circle Dr Albion IN 46701-1500 |
| Practice Telephone | 2607390300 |
| Mailing Telephone | 2605645850 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 05013789A | 01 |
| IN | 300041301 | 05 |
| Street Address |
12722 TONKEL RD STE 102 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033493622 | Jonathan Evans | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2011-10-01 |
| 1063037174 | Katlin R Couchman | Occupational Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2020-06-15 |
| 1154943934 | Emily Ladd | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2020-05-14 |
| 1225650518 | Zachary Schmucker | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2020-05-11 |
| 1699333955 | Kirsten Allman | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2019-06-03 |
| 1295213114 | Mitchell Maurice Hall | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2018-08-02 |
| 1063805042 | Protailored Physical Therapy LLC | Physical Therapist | 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201 | 2015-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| 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 | 46845 |
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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.