MEDICARE: FORT WAYNE SEATING & REHAB CORPORATION

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	261QP2000X	Physical Therapy Clinic/Center
2	225X00000X	Occupational Therapist	31005736A	IN

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

General Provider Information

NPI Number	:	1548772973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT WAYNE SEATING & REHAB CORPORATION

Provider Business Mailing Address
First Line	:	9315 THUNDER HILL PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4825
Country	:	US
Telephone Number	:	260-420-0332
Fax Number	:	260-420-0330

Provider Business Practice Location Address
First Line	:	9315 THUNDER HILL PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4825
Country	:	US
Telephone Number	:	260-420-0332
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSHUA MICHAEL OESTERLING
Credential	:	OTR/L, ATP
Telephone Number	:	812-560-9173

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	04/26/2021

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Directions to “FORT WAYNE SEATING & REHAB CORPORATION ” Practice Location

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