MEDICARE: STEPHANIE R HINE 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	05009940A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	156546	OTHER	IN	GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124250964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE R HINE DPT

Provider Business Mailing Address
First Line	:	4251 LAHMEYER RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-5676
Country	:	US
Telephone Number	:	260-432-4700
Fax Number	:	260-459-9262

Provider Business Practice Location Address
First Line	:	1220A N WAYNE ST
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-2345
Country	:	US
Telephone Number	:	260-624-2288
Fax Number	:	260-624-2286

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	05/16/2011

Similar Medicare Providers

1407625163 — PETER MAINGI MUTITI
Practice Location Address:

200 HOOSIER DR, ANGOLA, IN 46703
ANGOLA, IN
46703

Practice Phone: 800-342-5653
Practice Fax:

1114876539 — KIERSTIN HIGH
Practice Location Address:

100 N PUBLIC SQ
ANGOLA, IN
46703-1959

Practice Phone: 260-665-9060
Practice Fax:

1033084488 — PRACTICAL FAMILY MEDICINE, LLC
Practice Location Address:

610 N WAYNE ST UNIT H2
ANGOLA, IN
46703-1088

Practice Phone: 260-316-0782
Practice Fax:

1174526289 — CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Practice Location Address:

416 E MAUMEE ST
ANGOLA, IN
46703-2015

Practice Phone: 260-665-2141
Practice Fax: 260-665-8608

1073516753 — DR. GREY PRESTON BAALS O.D.
Practice Location Address:

712 CAMERON WOODS DR
ANGOLA, IN
46703

Practice Phone: 260-668-3937
Practice Fax: 260-668-3794

1407859994 — DR. TERRY L SHIPE M.D.
Practice Location Address:

306 E MAUMEE ST STE 201
ANGOLA, IN
46703-2035

Practice Phone: 260-665-7595
Practice Fax: 260-665-6586

Directions to “ STEPHANIE R HINE 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.