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Racc Medical Associates LLC

Physical Medicine & Rehabilitation Physician in Fort Wayne, IN · enumerated 2012 · authorized official Daniel Roth, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184976136

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Racc Medical Associates LLC
Other name <Unavail>
Practice address 1721 Magnavox Way, Fort Wayne, IN, 46804
Fax (260) 748-3651
Enumeration date Oct 15, 2012
Last updated in NPPES Nov 5, 2024

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Daniel Roth
Title Owner

Other identifiers

Identifier Type State Issuer
300038645 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Racc Medical Associates LLC?
Racc Medical Associates LLC is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-05.