MEDICARE: INDIANA PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	261QP2000X	Physical Therapy Clinic/Center

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	:	1780726257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA PHYSICAL THERAPY, INC.

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

Provider Business Practice Location Address
First Line	:	1913 NORTH WAYNE STREET, SUITE D
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46307
Country	:	US
Telephone Number	:	260-624-2288
Fax Number	:	260-624-2286

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW L VOGEL
Credential	:	PT
Telephone Number	:	260-824-0522

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	01/14/2025

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Directions to “INDIANA PHYSICAL THERAPY, INC. ” Practice Location

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