Amy J Sordahl, MSPT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

6259 Issued in WI

Practice address

1405 Mill St
New London, WI 54961-2155

Phone

(920) 531-2031

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1720304777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6044 SPRING CREEK RD",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549499127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-531-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORDAHL",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WI",
            "license": "6259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Selker, MA, LMFT
• Shree Laxmi Vinayak LLC (Aumera Wellness Pharmacy)
• Kaylee Siewert
• Beverly A. Sommer, R.N.
• Alexander L Sommers, MD
• Lindsey Spiegelberg
• Mary Joann Spiller, NP
• Nicholas John Sprangers, PHARMD
• St Joseph Residence Inc
• Pamela J. St. Clair, P.T.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New London, WI
• Providers in New London, WI by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.