1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Physical Medicine Rehabilitation
  6. NPI Profile

FORT WAYNE PHYSICAL MEDICINE
NPI 1083833297
Physical Medicine & Rehabilitation - Pain Medicine in Fort Wayne, IN

Active since April 25, 2007
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804(260) 436-9337(260) 436-9626 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Fort Wayne Physical Medicine NPPES

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

FORT WAYNE PHYSICAL MEDICINE (NPI 1083833297) is a healthcare organization registered as a pain medicine in Fort Wayne, Indiana and active in the NPI registry since April 2007. The organization lists Mark V Reecer, Owner, as its authorized official.

NPPES Registry Identity

NPI1083833297
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameFORT WAYNE PHYSICAL MEDICINE P C
Location Address5750 COVENTRY LN, SUITE 101Fort Wayne, IN 46804-7166
Mailing Address5750 Coventry Ln, Suite 101Fort Wayne, IN 46804-7166 · (260) 436-9337 · Fax (260) 436-9626
Phone(260) 436-9337
Fax(260) 436-9626
Organization SubpartNo
Authorized OfficialMark V ReecerOwner · (260) 436-9337
Enumeration DateApril 25, 2007
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1083833297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
5750 COVENTRY LN, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Names 1

Doing Business AsFort Wayne Physical Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

STEPHANIE R BANDY DPT, ATC
Physical Therapist
5750 COVENTRY LN, SUITE 101
FORT WAYNE, IN 46804
Allen County (260) 436-9337
JULIA LYNNE RISLEY PA-C
Physician Assistant (Medical)
5750 COVENTRY LN, SUITE 101
FORT WAYNE, IN 46804
Allen County (260) 436-9337
MARK V REECER MD
Pain Medicine (Pain Medicine)
5750 COVENTRY LN, SUITE 101
FORT WAYNE, IN 46804
Allen County (260) 436-9337
ERIC P CALLAHAN ATC
Specialist/Technologist (Athletic Trainer)
5750 COVENTRY LN, SUITE 101
FORT WAYNE, IN 46804
Allen County (260) 436-9337

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 Fort Wayne Physical Medicine P C's NPI number?

The NPI number for Fort Wayne Physical Medicine P C is 1083833297. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Fort Wayne Physical Medicine.

Where is Fort Wayne Physical Medicine P C located?

Fort Wayne Physical Medicine P C is located at 5750 Coventry Ln Suite 101, Fort Wayne, IN 46804. The listed phone number is (260) 436-9337.

What is Fort Wayne Physical Medicine P C's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Physical Medicine P C was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.