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

Fort Wayne Physical Medicine P C

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1083833297

Fort Wayne Physical Medicine P C provides Pain Medicine (Physical Medicine & Rehabilitation) Physician services in Fort Wayne, Indiana. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5750 Coventry Ln Ste 101
Fort Wayne, IN 46804-7166
Phone: (260) 436-9337
Fax: (260) 436-9626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1083833297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Reecer — Owner · (260) 436-9337
Other names Fort Wayne Physical Medicine; Fort Wayne Physical Medicine
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166

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