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

Jonathan Dettmer, PT

Individual provider Physical Therapist · NPI 1972026318

Jonathan Dettmer, PT is a Physical Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05012496A (IN)

Record details

NPI number1972026318
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

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