Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Physical Medicine P C

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1083833297

Fort Wayne Physical Medicine P C is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Wayne, Indiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5750 Coventry Ln Ste 101
Fort Wayne, IN 46804-7166
Phone: (260) 436-9337
Fax: (260) 436-9626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1083833297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Reecer — Owner · (260) 436-9337
Other names Fort Wayne Physical Medicine; Fort Wayne Physical Medicine
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166

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