Unknown Individual – Physical Therapist, NPI 1023033693

Unknown Individual is a healthcare provider. based in Elkhart, Indiana. specializing in Physical Therapist. They hold a License No. 05007279A (IN). The NPI Number for Unknown Individual is 1023033693

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023033693
Phone
(574) 264-0791
Address
2310 CALIFORNIA RD
Deactivation Date
8 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • California Road, Elkhart, Elkhart County, Indiana, 46514, United States

    SUITE A

    ELKHART, IN 465141228

    Phone: (574) 264-0791

    Fax: (574) 262-9650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46514)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1386146

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1023033693 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Elkhart, Indiana may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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