Allen County Family & Sports Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

08001622 Issued in IN

Legal business name

ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC

Practice address

3835 W Jefferson Blvd
Fort Wayne, IN 46804-6809

Phone

(260) 432-7339

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Monique Lillian Marie Levesque-Hartle, D.C.NPI 1477650497

Title

Vice President

Phone

(260) 432-7339

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Blackmon, DC

  • Chiropractor
  • La Porte, IN
  • NPI 1073970521

  IN

  Medicare reassignment NPD
• Michael Anthony Hartle, D.C.

  • Nutrition Chiropractor
  • Fort Wayne, IN
  • NPI 1073610010

  IN, Nutrition

  Medicare reassignment NPD
• Lexi Miller, DC

  • Chiropractor
  • Goshen, IN
  • NPI 1093665846

  IN

  Medicare reassignment NPD
• Christian Taylor Singleton, DC

  • Chiropractor
  • Rochester, IN
  • NPI 1609581644

  IN

  Medicare reassignment NPD
• Monique Lillian Marie Levesque-Hartle, D.C.

  • Nutrition Chiropractor
  • Fort Wayne, IN
  • NPI 1477650497

  Nutrition

  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205933165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046809",
            "telephone_number": "260-432-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046809",
            "telephone_number": "260-432-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE-HARTLE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "LILLIAN MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "260-432-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IN",
            "license": "08001638",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08001622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Allcock, LMHC
• Allen County Cardiology LLC
• Allen County Chiropractic LLC
• Allen County Council on Aging, Inc.
• Allen County Drug and Alcohol Consortium, Inc.
• Allen County Internal Medicine PC
• Allen County OB-GYN Associates, PC
• Allen County Retinal Surgeons, P.C.
• Allen County Wellness Center LLC
• Danielle R Allen, LCSW

• All providers in Fort Wayne, IN
• Sports Physician Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.