Individual provider Active NPI

Tayler M Schortgen, DPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1265950232
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012613A Issued in IN
Practice address
7563 W Jefferson Blvd
Fort Wayne, IN 46804-4131
Phone
(260) 497-7191
NPI assigned
Aug 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 05012613A IN Primary

Addresses

Primary practice location

7563 W Jefferson Blvd
Fort Wayne, IN 46804-4131

Mailing address

12844 Coldwater Rd Ste C
Fort Wayne, IN 46845-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928002629 IN Practitioner - Physical Therapist in Private Practice 3577838663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steppin' Up Physical Therapy, Inc.Group PAC ID 3476516071, 21 clinicians

Practice addresses (Care Compare)

3805 S Calhoun St
Fort Wayne, IN 46807-2010
Phone 2604977191201

9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 497-7191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steppin Up Physical Therapy, Inc. Physical Therapist CurrentSince Aug 15, 2017 Accepting new patients
Steppin Up Physical Therapy, Inc. CurrentSince Aug 15, 2017 Accepting new patients

Locations

4025 Sage Bluff Xing
Fort Wayne, IN 46804
Phone (260) 443-3044

7563 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2668

4303 Lahmeyer Rd
Fort Wayne, IN 46815
Phone (260) 443-3044

12844 Coldwater Rd
Ste B
Fort Wayne, IN 46845

10006 Auburn Park Dr
Fort Wayne, IN 46825
Phone (260) 247-8020

12844 Coldwater Rd
Ste C
Fort Wayne, IN 46845
Phone 2604977191103

9823 Auburn Rd
Fort Wayne, IN 46825

3805 S Calhoun St
Fort Wayne, IN 46807
Phone 2604977191201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1265950232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 COLDWATER RD STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7563 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044131",
            "telephone_number": "260-497-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORTGEN",
        "first_name": "TAYLER",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012613A",
            "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 Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.