| Mr Mark Douglas Schermerhorn, PT, ATC | |
|
5050 N Clinton St, Fort Wayne, IN 46825-5822 | |
| (260) 484-8551 | |
| (260) 894-4708 |
| Full Name | Mr Mark Douglas Schermerhorn |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5050 N Clinton St, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114048832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05002434A (Indiana) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 36000908A (Indiana) | Secondary |
| Provider Name | Senior Outpatient Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750050977 PECOS PAC ID: 6507264165 Enrollment ID: O20211012001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Douglas Schermerhorn, PT, ATC 9127 N 1050 W, Ligonier, IN 46767-9748 Ph: (260) 894-4659 | Mr Mark Douglas Schermerhorn, PT, ATC 5050 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551 |
Mrs. Dawn Rochner Lang, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2237 Engle Rd, Fort Wayne, IN 46809 Phone: 260-747-2353 | |
Mr. Todd Michael Sullivan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3978 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-373-9318 Fax: 260-373-9301 | |
Deborah Guebard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3320 N Clinton St, Fort Wayne, IN 46805 Phone: 260-483-2100 | |
Mr. David L Kuhn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-478-5230 Fax: 260-478-5235 | |
Ms. Andrea Jantson Smith, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 46845 Phone: 260-266-7400 Fax: 260-266-7439 | |
Elaine Coleman Prouty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9426 Lima Rd, Fort Wayne, IN 46818 Phone: 260-497-0328 | |
Stephen Thomas Epley, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2715 West Dr, Fort Wayne, IN 46805 Phone: 530-736-1875 |