MRS. JENNIFFER GAITE ETCHISON PT
NPI 1215133715
Physical Therapist in Fort Wayne, IN
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
Specialties & Licenses
- 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.
Other Names 1
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).
Medicare Billing Reassignments
2Medicare 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.
Fishers, IN 46037
- Reassigned Medicare billing, Indiana enrollment
- 151 clinicians in this Medicare group
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.
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.