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

Protailored Physical Therapy LLC

Organization Orthopedic Physical Therapist · NPI 1063805042

Protailored Physical Therapy LLC is an Orthopedic Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone: (260) 739-0300
Fax: (260) 818-2299
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 05011654A (IN)

Record details

NPI number1063805042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Evans — Physical Therapist/Owner · (260) 570-8239
NPI enumeratedMarch 14, 2015
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address12722 Tonkel Rd Ste 102, Fort Wayne, IN 46845-8201

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