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

Mr. Jon Anthony Desmarais, PT

Individual provider Physical Therapist · NPI 1619953221

Mr. Jon Anthony Desmarais, PT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 1998, 28 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
28
Licensed in
IN
In the registry since
2005
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

401 E Colfax Ave Ste 102
South Bend, IN 46617-2737
Phone: (574) 234-1059
Fax: (574) 234-1068
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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 05006317A (IN)

Record details

NPI number1619953221
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESOctober 5, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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