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MRS. JESSICA ELAINE KOEHNEKE CTRS
NPI 1821805870
Recreation Therapist in Fort Wayne, IN

Active since December 13, 2024
101 W DUPONT RD, FORT WAYNE, IN 46825(260) 489-1774(260) 489-1777 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jessica Elaine Koehneke Ctrs NPPES

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

MRS. JESSICA ELAINE KOEHNEKE CTRS (NPI 1821805870) is an individual recreation therapist in Fort Wayne, Indiana and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1821805870
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameMRS. JESSICA ELAINE KOEHNEKECredential: CTRS
Location Address101 W DUPONT RDFort Wayne, IN 46825-1915
Mailing Address101 W Dupont RdFort Wayne, IN 46825-1915 · (260) 489-1774 · Fax (260) 489-1777
Phone(260) 489-1774
Fax(260) 489-1777
Sole ProprietorNo
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1821805870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
101 W DUPONT RD, Fort Wayne, IN 46825
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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.

SASHKA BUTLER
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 489-1774
NICOLE FOWLER RBT
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 489-1774
CHRISTINA NELSON
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 205-4116
ALEXIS NICOLE WINSTON
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 920-0982
SARAH KATHRYN STRAUB PEARL
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 204-4116
MS. KARISSA CRAMER
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 489-1774
TAYLOR LAHEE RBT
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 489-1774
BLAKE EVANS
Behavior Technician
101 W DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 489-1774

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 Jessica Koehneke's NPI number?

The NPI number for Jessica Koehneke is 1821805870. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Jessica Koehneke located?

Jessica Koehneke practices at 101 W Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 489-1774.

What is Jessica Koehneke's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Jessica Koehneke was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.