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

Spine Technology and Rehabilitation, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1245213263

Spine Technology and Rehabilitation, PC is a Physical Medicine & Rehabilitation Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3898 New Vision Dr Ste B
Fort Wayne, IN 46845-1719
Phone: (260) 459-7313
Fax: (260) 436-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Orthopedic Physical Therapist Taxonomy 2251X0800X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10001306A (IN)

Record details

NPI number1245213263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Fortin — Physician/Owner · (260) 459-7313
NPI enumeratedNovember 23, 2005
Last updated in NPPESJune 29, 2022
Certification dateJune 29, 2022
Mailing address3898 New Vision Dr Ste B, Fort Wayne, IN 46845-1719

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