Active NPI
Abigail Sordelet
- Physical Therapist
- Fort Wayne, IN
National Provider Identifier
1063104479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10445 Dupont Oaks Blvd
Fort Wayne, IN 46845-8792 - Phone
- (260) 471-4770
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10445 Dupont Oaks Blvd
Fort Wayne, IN 46845-8792
Mailing address
5327 Glenrose Dr
Fort Wayne, IN 46815-6121
Other practice location 1
4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363
Phone (260) 443-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1063104479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5327 GLENROSE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468156121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10445 DUPONT OAKS BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458792",
"telephone_number": "260-471-4770"
}
],
"practiceLocations": [
{
"address_1": "4180 Sage Bluff Xing",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468042363",
"country_code": "US",
"telephone_number": "260-443-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORDELET",
"first_name": "ABIGAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.