CHAD DISTELRATH
NPI 1962823138
Physical Therapy Assistant in Fort Wayne, IN
About Chad Distelrath NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAD DISTELRATH (NPI 1962823138) is an individual physical therapy assistant in Fort Wayne, Indiana, licensed in Indiana (06002033A) and active in the NPI registry since December 2013.
NPPES Registry Identity
Specialties & Licenses
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 Chad Distelrath's NPI number?
The NPI number for Chad Distelrath is 1962823138. It was assigned to this individual provider in the NPPES registry on December 13, 2013.
Where is Chad Distelrath located?
Chad Distelrath practices at 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815. The listed phone number is (260) 493-0012.
What is Chad Distelrath's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Chad Distelrath was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.