Megan Marie Sobolic, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017572 Issued in MI

Practice address

5570 Pebble Village LN Ste 300
Noblesville, IN 46062-7409

Phone

(317) 678-9861

Fax

(317) 678-9862

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Marie Wolf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Select Medical Rehabilitation Clinics Inc

  • Rehabilitation Clinic/Center
  • Portage, IN
  • NPI 1225033202
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1669973418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 PEBBLE VILLAGE LN STE 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627409",
            "telephone_number": "317-678-9861",
            "fax_number": "317-678-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 PEBBLE VILLAGE LN STE 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627409",
            "telephone_number": "317-678-9861",
            "fax_number": "317-678-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLIC",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017572",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015155A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WOLF",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya Smith, PA
• Darci Smithson, PT
• Kalyn Smithson
• David Smyles
• William Palmer Snyder Jr., DO
• Solvent Services Inc
• Sonovu Diagnostics LLC
• Ana Soriano Puente
• Sos Group LLC
• Rodney Soto

• Physical Therapist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.