IndividualActive
Michelle Lock
NPI 1184126187 · Physical Therapy Assistant · Fort Wayne, IN
Provider details
- NPI number
- 1184126187
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 06004316A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
300 E Washington Blvd
Fort Wayne, IN 46802-3124
Phone: (260) 422-5511
Street-level locationGet directions
Mailing address
2651 W 900 N
Columbia City, IN 46725-7853
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.