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1235216227

NPI Code Detail

MEDICARE: ALLISON M DENLINGER DPT,ATC,LAT

MEDICARE: ALLISON M DENLINGER DPT,ATC,LAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05008432A	IN
2	225100000X	Physical Therapist	PT014666	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AB7360731	OTHER	OH	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235216227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON M DENLINGER DPT,ATC,LAT

Provider Business Mailing Address
First Line	:	3320 N CLINTON ST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-1918
Country	:	US
Telephone Number	:	260-483-2100
Fax Number	:	260-484-5059

Provider Business Practice Location Address
First Line	:	3817 COLONEL GLENN HWY
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45324-2031
Country	:	US
Telephone Number	:	937-427-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/17/2018

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Directions to “ ALLISON M DENLINGER DPT,ATC,LAT” Practice Location

Language	Start Address	Practice Location

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