Ken Mack, PTA
NPI 1083926158 · Physical Therapy Assistant · South Bend, IN
Ken Mack, PTA is a Physical Therapy Assistant provider in South Bend, IN (NPI 1083926158).
Provider details
- NPI number
- 1083926158
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 06003673 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Frequently asked questions
- What is Ken Mack's NPI number?
- Ken Mack's National Provider Identifier (NPI) is 1083926158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ken Mack's specialty?
- Ken Mack is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ken Mack located?
- Ken Mack's practice location on file with NPPES is 1005 N Hickory Rd, South Bend, IN 46615-3723.
- What is Ken Mack's phone number?
- The practice phone number listed in the NPPES registry for Ken Mack is (574) 233-5754.
- Is Ken Mack's NPI active?
- Yes — Ken Mack's NPI (1083926158) is active in the NPPES registry as of the last update on 2010-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.