ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC
NPI 1205933165
Chiropractor - Sports Physician in Fort Wayne, IN

Active since September 20, 2006
3835 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-7339 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Allen County Family & Sports Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC (NPI 1205933165) is a healthcare organization registered as a sports physician in Fort Wayne, Indiana and active in the NPI registry since September 2006. The organization lists Monique Lillian Marie Levesque-hartle, Vice President, as its authorized official.

NPPES Registry Identity

NPI1205933165
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC
Location Address3835 W JEFFERSON BLVDFort Wayne, IN 46804-6809
Mailing Address3835 W Jefferson BlvdFort Wayne, IN 46804-6809 · (260) 432-7339
Organization SubpartNo
Authorized OfficialMonique Lillian Marie Levesque-hartleVice President · (260) 432-7339
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1205933165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IN · 08001622
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 08001638 (IN)
3835 W JEFFERSON BLVD, Fort Wayne, IN 46804

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen County Family & Sports Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Allen County Family & Sports Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1073610010
3835 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 432-7339
Same address
Chiropractic
NPI 1093665846
909 LINWAY DR
Goshen, IN 46526
(574) 534-4400
49 mi
Chiropractic
NPI 1609581644
800 MAIN ST
Rochester, IN 46975
(574) 223-5557
54 mi
Chiropractic
NPI 1073970521
204 LEGACY PLZ W
La Porte, IN 46350
(219) 476-7246
86 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allen County Family & Sports Chiropractic's NPI number?

The NPI number for Allen County Family & Sports Chiropractic is 1205933165. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Allen County Family & Sports Chiropractic located?

Allen County Family & Sports Chiropractic is located at 3835 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-7339.

What is Allen County Family & Sports Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Allen County Family & Sports Chiropractic enrolled in Medicare?

Yes. Allen County Family & Sports Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allen County Family & Sports Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Allen County Family & Sports Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allen County Family & Sports Chiropractic accept?

Health plans from Anthem Blue Cross and Blue Shield list Allen County Family & Sports Chiropractic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allen County Family & Sports Chiropractic was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.