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

Mrs. Jenniffer Gaite Etchison, PT

Individual provider Physical Therapist · NPI 1215133715

Mrs. Jenniffer Gaite Etchison, PT is a Physical Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2002, 24 years ago. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2007
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

8905 Dunmore Ln
Fort Wayne, IN 46804-3449
Phone: (260) 804-7819
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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 05008583A (IN)

Record details

NPI number1215133715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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