MEDICARE: BRANDON WITTE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05015982A	IN

General Provider Information

NPI Number	:	1164211298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON WITTE DPT

Provider Business Mailing Address
First Line	:	11109 PARKVIEW PLAZA DR # 117
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11143 PARKVIEW PLAZA DR STE 100
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1728
Country	:	US
Telephone Number	:	260-266-7400
Fax Number	:	260-266-7439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	01/26/2026

Similar Medicare Providers

1700742335 — DR. SASIKALA XAVIER
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-7400
Practice Fax: 260-266-7439

1780296558 — MICHAEL VANOEVER DPT
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-7400
Practice Fax: 260-266-7439

1366331761 — BRIANNA MOHLER PA
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-8820
Practice Fax: 260-266-8829

1902805351 — JULIE HERMAN P.T.
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-7400
Practice Fax: 260-266-7439

1013907500 — DR. THOMAS M RUEDIGER PT
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-7400
Practice Fax: 260-266-7439

1770555005 — MELISSA ANNE DEMPSEY M.S.
Practice Location Address:

11143 PARKVIEW PLAZA DR STE 216
FORT WAYNE, IN
46845-1728

Practice Phone: 260-266-9225
Practice Fax: 260-266-9169

Directions to “ BRANDON WITTE DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.