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

Mr. Anthony Khuntong Panbamrung, PTA

Individual provider Physical Therapy Assistant · NPI 1861699092

Mr. Anthony Khuntong Panbamrung, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
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

2827 Northgate Blvd
Fort Wayne, IN 46835-2903
Phone: (260) 492-1498
Fax: (260) 492-1674
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 06002861A (IN)

Record details

NPI number1861699092
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Fort Wayne