Organization
SUMMIT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREAS LOHMAR PT (OWNER)
(260) 484-9491
Entity
Organization
Contact information
Practice address
6210 LIMA RD, FORT WAYNE, IN 46818-1428
(260) 484-9491
(260) 484-9451
Mailing address
6210 LIMA RD, FORT WAYNE, IN 46818-1428
(260) 484-9491
(260) 484-9451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235360
MEDICARE ID - TYPE UNSPECIFIED
—
Enumeration date
10/17/2006
Last updated
12/02/2021
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