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JONATHAN EVANS DPT
NPI 1033493622
Physical Therapist - Orthopedic in Fort Wayne, IN

Active since October 01, 2011
12722 TONKEL RD STE 102, FORT WAYNE, IN 46845(260) 739-0300 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Evans Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN EVANS DPT (NPI 1033493622) is an individual orthopedic provider in Fort Wayne, Indiana, licensed in Indiana (05011654A) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1033493622
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJONATHAN EVANSCredential: DPT
Location Address12722 TONKEL RD STE 102Fort Wayne, IN 46845-8201
Mailing Address11170 Rillito Ln, 301Fort Wayne, IN 46845-2079 · (260) 570-8239
Phone(260) 739-0300
Sole ProprietorNo
Enumeration DateOctober 1, 2011
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1033493622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in IN · 05011654A✔ Licensed in GA · PT010453
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
12722 TONKEL RD STE 102, Fort Wayne, IN 46845
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Other Identifiers 1

Medicaid201289270IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Evans Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Protailored Physical Therapy LLC
Same address
Orthopedic
12722 TONKEL RD STE 102
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1063805042 (260) 739-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATLIN R COUCHMAN OTD
Occupational Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
PROTAILORED PHYSICAL THERAPY LLC
Physical Therapist (Orthopedic)
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
KELSEY M NEUMAN DPT
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
NICHOLAS ALLEN OT
Occupational Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
GRACIE CLICKOVICH DPT
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
CHELSEA R JONES DPT
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
ZACHARY SCHMUCKER DPT
Physical Therapist (Orthopedic)
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300
MATT C PAUL DPT
Physical Therapist
12722 TONKEL RD STE 102
FORT WAYNE, IN 46845
Allen County (260) 739-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Evans's NPI number?

The NPI number for Jonathan Evans is 1033493622. It was assigned to this individual provider in the NPPES registry on October 1, 2011.

Where is Jonathan Evans located?

Jonathan Evans practices at 12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845. The listed phone number is (260) 739-0300.

What is Jonathan Evans's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jonathan Evans enrolled in Medicare?

Yes. Jonathan Evans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Evans reassigns Medicare benefits to Protailored Physical Therapy LLC (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Evans accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jonathan Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Evans was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.