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

Michaela Clemens

Individual provider Physical Therapist · NPI 1578130795

Michaela Clemens is a Physical Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042
Phone: (260) 497-0328
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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 05014161A (IN)

Record details

NPI number1578130795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne