Organization Active NPI

Sorokolit Podiatry PLLC

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1487001756
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SOROKOLIT PODIATRY PLLC
Practice address
908 9TH Ave Ste a
Fort Worth, TX 76104-3904
Phone
(817) 877-5781
Fax
(817) 877-5782
NPI assigned
May 17, 2016
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Angela Sorokolit
Title
Office Manager
Phone
(603) 479-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

908 9TH Ave Ste a
Fort Worth, TX 76104-3904

Mailing address

908 9TH Ave Ste a
Fort Worth, TX 76104-3904
Phone (817) 877-5781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811001954 TX Part B Supplier - Clinic/Group Practice 3577857614 Receives reassigned benefits from 1 practitioner
Practice locations: N Richland Hills, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

1305 E Seminary Dr
Ste 144
Fort Worth, TX 76115
Phone (817) 735-2549

1712 Pennsylvania Ave
Fort Worth, TX 76104
Phone (817) 877-5781

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1487001756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 9TH AVE STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043904",
            "telephone_number": "817-877-5781",
            "fax_number": "817-877-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 9TH AVE STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043904",
            "telephone_number": "817-877-5781",
            "fax_number": "817-877-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROKOLIT PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SOROKOLIT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-479-1996"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.