Amy J Sordahl, MSPT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in New London, Wisconsin. Amy J Sordahl is licensed to practice in Wisconsin (license number 6259) and her current practice location is 1405 Mill St, New London, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 531-2031.
NPI number for Amy J Sordahl is 1720304777 and her current mailing address is N6044 Spring Creek Rd, Manawa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720304777.
Physician's Profile
Full Name | Amy J Sordahl |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 1405 Mill St, New London, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720304777
- Provider Enumeration Date: 04/15/2010
- Last Update Date: 04/15/2010
Medical Identifiers
Medical identifiers for Amy J Sordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720304777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 6259 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy J Sordahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy J Sordahl, MSPT N6044 Spring Creek Rd, Manawa, WI 54949-9127 Ph: () - | Amy J Sordahl, MSPT 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2031 |
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