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

Individual provider Physical Therapy Assistant · NPI 1265779896

Jon Michael Wogoman is a Physical Therapy Assistant in Elkhart, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
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Practice location Address checks out

59502 County Road 7
Elkhart, IN 46517-9527
Phone: (574) 575-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06003520A (IN)

Record details

NPI number1265779896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2013
Last updated in NPPESJanuary 16, 2013

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