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Daniel Roth, DO, MBA, MS — NPI 1861687923, Fort Wayne, IN | NPI Central

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NPI 1861687923

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Daniel Roth, DO, MBA, MS

NPI 1861687923 · Physical Medicine & Rehabilitation Physician · Fort Wayne, IN

Provider details

NPI number: 1861687923
Entity type: Individual
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Credential: DO, MBA, MS
Sex: Male
Sole proprietor: No
License: 125050599 (IL)

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000XLicense 02003462A (IN)
Allopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation Physician208100000XLicense 125050599 (IL)
Allopathic & Osteopathic Physicians
Interventional Pain Medicine Physician208VP0014XLicense 02003462A (IN)
Allopathic & Osteopathic Physicians

Practice location

1721 Magnavox Way

Fort Wayne, IN 46804-1537

Phone: (260) 748-3650

Fax: (260) 748-3651

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

Po Box 670

Huntertown, IN 46748-0670

Additional practice locations (4)

1314 E 7th St Ste 201
Auburn, IN 46706-2533
Phone: (260) 748-3650
Fax: (260) 748-3651
6811 Lima Rd
Fort Wayne, IN 46818-1145
Phone: (260) 748-3650
Fax: (260) 748-3651
2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609
Phone: (260) 748-3650
Fax: (260) 748-3651
2124 N Biomet Dr
Warsaw, IN 46582-7858
Phone: (260) 748-3650
Fax: (260) 748-3651

Registry dates

Enumerated: 2007-09-12
Last updated: 2019-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.