Individual provider Active NPI

Marcia K Sorensen, PT

  • Physical Therapist
  • Newark, IL
National Provider Identifier
1194854919
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010672 Issued in IL
Practice address
7526 Finnie Rd
Newark, IL 60541-9451
Phone
(630) 878-8114
Fax
(630) 230-3105
NPI assigned
Mar 5, 2007
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070010672 IL Primary

Addresses

Primary practice location

7526 Finnie Rd
Newark, IL 60541-9451

Mailing address

7526 Finnie Rd
Newark, IL 60541-9451
Phone (308) 788-1146

Other identifiers 1

IdentifierTypeStateIssuer
09932114OtherILBLUE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
070010672ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Strides Therapy, P.C. Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Bautz Developmental Intervention Inc Physical Therapist Past Accepting new patients

Locations

7526 Finnie Rd
Newark, IL 60541
Phone (630) 878-8114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1194854919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 FINNIE RD",
            "city": "NEWARK",
            "state": "IL",
            "postal_code": "605419451",
            "telephone_number": "308-788-1146",
            "fax_number": "630-230-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 FINNIE RD",
            "city": "NEWARK",
            "state": "IL",
            "postal_code": "605419451",
            "telephone_number": "630-878-8114",
            "fax_number": "630-230-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MARCIA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.