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

Craig William Vandermaden, PTA

Individual provider Physical Therapy Assistant · NPI 1790658862

Craig William Vandermaden, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

6410 W Jefferson Blvd Ste 15A
Fort Wayne, IN 46804-6282
Phone: (260) 299-7272
Fax: (260) 299-7273
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06005043A (IN)

Record details

NPI number1790658862
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

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