MRS. JENNIFFER GAITE ETCHISON PT
NPI 1215133715
Physical Therapist in Fort Wayne, IN

Active since June 22, 2007
8905 DUNMORE LN, FORT WAYNE, IN 46804(260) 804-7819 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 12, 2021, Mar 18, 2019 (2 updates tracked since 2019).

About Mrs. Jenniffer Gaite Etchison Pt NPPES

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

MRS. JENNIFFER GAITE ETCHISON PT (NPI 1215133715) is an individual physical therapist in Fort Wayne, Indiana, licensed in Indiana (05008583A) and active in the NPI registry since June 2007. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1215133715
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JENNIFFER GAITE ETCHISONCredential: PT
Location Address8905 DUNMORE LNFort Wayne, IN 46804-3449
Mailing Address8905 Dunmore LnFort Wayne, IN 46804-3449 · (260) 804-7819
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 22, 2007
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1215133715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IN · 05008583A
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
8905 DUNMORE LN, Fort Wayne, IN 46804

Other Names 1

Former Name (1)Jenniffer Gaite

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jenniffer Gaite Etchison Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214278027
PECOS Enrollment IDI20190404000914

Medicare Billing Reassignments

2

Medicare enrollment records show Jenniffer Etchison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
11570 E 126TH STREET
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 151 clinicians in this Medicare group
Physical Therapist
343 E 90TH DR
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 213 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
504 services14 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
389 services12 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
371 services14 patients

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 Jenniffer Etchison's NPI number?

The NPI number for Jenniffer Etchison is 1215133715. It was assigned to this individual provider in the NPPES registry on June 22, 2007. The provider is also known as Jenniffer Gaite.

Where is Jenniffer Etchison located?

Jenniffer Etchison practices at 8905 Dunmore Ln, Fort Wayne, IN 46804. The listed phone number is (260) 804-7819.

What is Jenniffer Etchison's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jenniffer Etchison enrolled in Medicare?

Yes. Jenniffer Etchison is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenniffer Etchison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenniffer Etchison reassigns Medicare benefits to 2 organizations: Creative Health Care Management LLC (Fishers, IN) and Healthpro Heritage Rehab & Fitness, LLC (Merrillville, IN). Each 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 Jenniffer Etchison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenniffer Etchison was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.