Provider Demographics
NPI:1235216227
Name:DENLINGER, ALLISON M (DPT,ATC,LAT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:DENLINGER
Suffix:
Gender:F
Credentials:DPT,ATC,LAT
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:M
Other - Last Name:SORGEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3320 N CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805-1918
Mailing Address - Country:US
Mailing Address - Phone:260-483-2100
Mailing Address - Fax:260-484-5059
Practice Address - Street 1:3817 COLONEL GLENN HWY
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45324-2031
Practice Address - Country:US
Practice Address - Phone:937-427-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008432A225100000X
OHPT014666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAB7360731OtherMEDICARE PIN
OH2187155Medicaid
IN200684710Medicaid