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NPI Code Detail

MEDICARE: WADE MARKUS PTA

MEDICARE: WADE MARKUS PTA
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
1225200000XPhysical Therapy Assistant06001858AIN

General Provider Information

NPI Number : 1811854359
Entity Type Code : Individual
Provider Name (Legal Business Name) : WADE MARKUS PTA
Provider Business Mailing Address
First Line : 16740 MAVERICK CT
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-7309
Country : US
Telephone Number : 317-270-8711
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ WADE MARKUS PTA” Practice Location

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