Active NPI
Abigail Sorensen-Brittich, DPT
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1598920217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11832-024
- Practice address
- 10105 74TH St
Suite 103
Kenosha, WI 53142-7519 - Phone
- (800) 974-4348
- Fax
- (630) 515-1536
- NPI assigned
- Jul 22, 2008
- Last updated
- Mar 21, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070016484 | IL | |
| Physical Therapist | 225100000X | 11832-024 | WI | Primary |
Addresses
Primary practice location
10105 74TH St
Suite 103
Kenosha, WI 53142-7519
Mailing address
2547 Plainfield Naperville Rd
Suite 152
Naperville, IL 60564-8909
Phone (800) 974-4378
Other names 1
- Abigail Sorensen
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070016484 | IL | MD | Physical Therapist |
| 11832-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1598920217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 PLAINFIELD NAPERVILLE RD",
"address_2": "SUITE 152",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648909",
"telephone_number": "800-974-4378",
"fax_number": "630-515-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 74TH ST",
"address_2": "SUITE 103",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427519",
"telephone_number": "800-974-4348",
"fax_number": "630-515-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN-BRITTICH",
"first_name": "ABIGAIL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070016484",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11832-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "SORENSEN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.