Active NPI
Sofia Rutledge, DPT
- Physical Therapist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013086A
- Practice address
- 53880 Carmichael Dr
South Bend, IN 46635-1567 - Phone
- (574) 247-9441
- Fax
- (574) 247-9442
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 05013086A | IN | Primary |
Addresses
Primary practice location
53880 Carmichael Dr
South Bend, IN 46635-1567
Mailing address
3600 W Bethel Ave
Muncie, IN 47304-5407
Other practice location 1
60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441
Other practice location 2
5230 Beck Dr Ste 7
Elkhart, IN 46516-9059
Phone (574) 247-9441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99086374A | Other | IN | PHYSICAL THERAPY |
Other names 1
- Sofia Tzortzinis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181010000349 | IN | Practitioner - Physical Therapist in Private Practice | 5092067603 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Indiana Orthopedics LLC
Practice addresses (Care Compare)
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 64.48
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bend Orthopaedic Associates, Inc. | Current | Accepting new patients | |
| Central Indiana Orthopedics, LLC | Current | Accepting new patients | |
| Central Indiana Orthopedics LLC | Physical Therapist | Current | Accepting new patients |
Locations
5230 Beck Dr
Ste 7
Elkhart, IN 46516
Phone (574) 274-9441
60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790
3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870
53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159
Interoperability endpoints
- https://api.platform.athenahealth.com/13070/brand/2/csg/1/fhir/r4
- sofia.tzortzinis.2@13070.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
IN, Physical Therapist
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1669207023
-
- Orthopaedic Surgery Physician
- Bloomington, IN
- NPI 1013742477
-
- Orthopaedic Surgery Physician
- Plymouth, IN
- NPI 1265209456
-
- Orthopaedic Surgery Physician
- Elkhart, IN
- NPI 1457215113
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1487421681
-
- Orthopaedic Surgery Physician
- Anderson, IN
- NPI 1578678751
-
- Orthopaedic Surgery Physician
- Marion, IN
- NPI 1619694726
-
- Orthopaedic Surgery Physician
- Mishawaka, IN
- NPI 1740057942
-
- Orthopaedic Surgery Physician
- Fishers, IN
- NPI 1962061135
-
- Orthopaedic Surgery Physician
- Zionsville, IN
- NPI 1962223123
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1669421277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1326530635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53880 CARMICHAEL DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351567",
"telephone_number": "574-247-9441",
"fax_number": "574-247-9442"
}
],
"practiceLocations": [
{
"address_1": "60160 Bodnar Blvd",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465449338",
"country_code": "US",
"telephone_number": "574-247-9441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5230 Beck Dr Ste 7",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465169059",
"country_code": "US",
"telephone_number": "574-247-9441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "SOFIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013086A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "99086374A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SOFIA",
"last_name": "TZORTZINIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.