KEN MACK PTA
NPI 1083926158
Physical Therapy Assistant in South Bend, IN

Active since July 06, 2010
1005 N HICKORY RD, SOUTH BEND, IN 46615(574) 233-5754(574) 233-7406 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ken Mack Pta NPPES

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

KEN MACK PTA (NPI 1083926158) is an individual physical therapy assistant in South Bend, Indiana, licensed in Indiana (06003673) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1083926158
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameKEN MACKCredential: PTA
Location Address1005 N HICKORY RDSouth Bend, IN 46615-3723
Mailing Address1005 N Hickory RdSouth Bend, IN 46615-3723 · (574) 233-5754 · Fax (574) 233-7406
Fax(574) 233-7406
Sole ProprietorNo
Enumeration DateJuly 6, 2010
NPI 1083926158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in IN · 06003673
Definition

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

1005 N HICKORY RD, South Bend, IN 46615

Other Identifiers 1

Medicaid100351040IN

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.

Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN 46615
Clinic/Center
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN 46615
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN 46615

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 Ken Mack's NPI number?

The NPI number for Ken Mack is 1083926158. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Ken Mack located?

Ken Mack practices at 1005 N Hickory Rd, South Bend, IN 46615. The listed phone number is (574) 233-5754.

What is Ken Mack's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Ken Mack was last updated on July 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.