Individual provider Active NPI

Allison Loudenback, PT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1992227920
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
99079812A Issued in IN
Practice address
9602 Coldwater Rd Ste 102
Fort Wayne, IN 46825-2095
Phone
(260) 489-9887
Fax
(260) 489-9121
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 99079812A IN Primary

Addresses

Primary practice location

9602 Coldwater Rd Ste 102
Fort Wayne, IN 46825-2095

Mailing address

9602 Coldwater Rd Ste 102
Fort Wayne, IN 46825-2095
Phone (260) 489-9887

Other names 1

  • Allison Colligan Former name

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

LicenseStateTypeSpecialty
99079812AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mallers & Swoverland Orthopaedic Physical Therapy Physical Therapist CurrentSince Jul 26, 2017 Accepting new patients

Locations

9039 Stellhorn Crossing Pkwy
Fort Wayne, IN 46815
Phone (260) 489-9727

9602 Coldwater Rd
Ste 102
Fort Wayne, IN 46825
Phone (260) 489-9887

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992227920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 COLDWATER RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252095",
            "telephone_number": "260-489-9887",
            "fax_number": "260-489-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 COLDWATER RD STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252095",
            "telephone_number": "260-489-9887",
            "fax_number": "260-489-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDENBACK",
        "first_name": "ALLISON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99079812A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "COLLIGAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.