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

Jonathan D.v. Sanner, DPT

Individual provider Physical Therapist · NPI 1134672728

Jonathan D.v. Sanner, DPT is a Physical Therapist in Private Practice in Mishawaka, Indiana. Qualified in 2011, 15 years ago. Practices with Michiana Spine, Sports and Occupational Rehab, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3448
Phone: (574) 252-4150
Fax: (574) 252-4159
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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 5501015777 (MI)

Record details

NPI number1134672728
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESNovember 15, 2016
Mailing address3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Michiana Spine, Sports And Occupational Rehab, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mishawaka