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

Blake Bauman

Individual provider Physical Therapist · NPI 1710875208

Blake Bauman is a Physical Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2025, 1 year ago. Practices with Mallers and Swoverland Orthopaedic Physical Therapy, a 14-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

9039 Stellhorn Crossing Pkwy
Fort Wayne, IN 46815
Phone: (260) 489-9727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015983A (IN)

Record details

NPI number1710875208
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 5, 2025
Mailing address5483 Coventry Ln Apt 202, Fort Wayne, IN 46804-7182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mallers And Swoverland Orthopaedic Physical Therapy — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne