SUMMIT PHYSICAL THERAPY LLC
NPI 1396825840
Physical Therapist in Fort Wayne, IN

Active since October 17, 2006
6210 LIMA RD, FORT WAYNE, IN 46818(260) 484-9491(260) 484-9451 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2021, Nov 24, 2021, Nov 18, 2021 (3 updates tracked since 2021).

About Summit Physical Therapy Llc NPPES

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

SUMMIT PHYSICAL THERAPY LLC (NPI 1396825840) is a healthcare organization registered as a physical therapist in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Fort Wayne and lists Andreas Lohmar, Owner, as its authorized official.

NPPES Registry Identity

NPI1396825840
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSUMMIT PHYSICAL THERAPY LLC
Location Address6210 LIMA RDFort Wayne, IN 46818-1428
Mailing Address6210 Lima RdFort Wayne, IN 46818-1428 · (260) 484-9491 · Fax (260) 484-9451
Fax(260) 484-9451
Organization SubpartNo
Authorized OfficialAndreas LohmarOwner · (260) 484-9491
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1396825840 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 · 05002908A
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.
6210 LIMA RD, Fort Wayne, IN 46818

Secondary Practice Location 1

Location 17513 W Jefferson BlvdFort Wayne, IN 46804-4131 · Phone (260) 206-6164 · Fax (260) 209-3160

Other Identifiers 1

Other235360Medicare Id - Type Unspecified

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20140408001977Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Summit Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1548639511
5310 MERCHANDISE DR
Fort Wayne, IN 46825
(260) 484-9491
✔ Accepts Medicare0.8 mi
Physical Therapist in Private Practice
NPI 1124245949
5310 MERCHANDISE DRIVE
Ft. Wayne, IN 46825
(260) 484-9491
0.8 mi
Physical Therapist in Private Practice
NPI 1932367877
5310 MERCHANDISE DR
Fort Wayne, IN 46825
(260) 484-9491
✔ Accepts Medicare0.8 mi

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

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 Summit Physical Therapy LLC's NPI number?

The NPI number for Summit Physical Therapy LLC is 1396825840. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Summit Physical Therapy LLC located?

Summit Physical Therapy LLC is located at 6210 Lima Rd, Fort Wayne, IN 46818. The listed phone number is (260) 484-9491.

What is Summit Physical Therapy LLC's specialty?

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

Is Summit Physical Therapy LLC enrolled in Medicare?

Yes. Summit Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

When is Summit Physical Therapy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Summit Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Summit Physical Therapy LLC. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Physical Therapy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Summit Physical Therapy LLC 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 Summit Physical Therapy LLC was last updated on December 2, 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.