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EVAN JURJEVIC
NPI 1154990893
Physical Therapist - Sports in Fort Wayne, IN

Active since June 17, 2021
3946 ICE WAY, FORT WAYNE, IN 46805(260) 266-4007 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Evan Jurjevic NPPES

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

EVAN JURJEVIC (NPI 1154990893) is an individual sports provider in Fort Wayne, Indiana, licensed in Indiana (05014201A) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1154990893
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameEVAN JURJEVIC
Location Address3946 ICE WAYFort Wayne, IN 46805-1018
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-4007
Sole ProprietorNo
Enumeration DateJune 17, 2021
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1154990893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in IN · 05014201A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
3946 ICE WAY, Fort Wayne, IN 46805
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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 ›

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.

ZACHARY DAVID BROWN ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (636) 290-1136
MRS. SALLY ANN YOUNG A.T.C.-L
Contractor
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (260) 266-4007
AMY HILE MA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (304) 685-0845
JESSICA LAINE HUETT EDD, LAT, ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (555) 555-5555
JESSICA RENEE WESTMAAS MBA,LAT, ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (231) 667-4225
HANNAH KAY DETMER
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (260) 266-4007
KARI CARPENTER ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (260) 266-7400
ALEXANDRA NICOLE PARR MAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
3946 ICE WAY
FORT WAYNE, IN 46805
Allen County (765) 461-0127

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 Evan Jurjevic's NPI number?

The NPI number for Evan Jurjevic is 1154990893. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Evan Jurjevic located?

Evan Jurjevic practices at 3946 Ice Way, Fort Wayne, IN 46805. The listed phone number is (260) 266-4007.

What is Evan Jurjevic's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

What insurance does Evan Jurjevic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Evan Jurjevic 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 Evan Jurjevic was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.