Individual provider Active NPI

Sonya F Hadley, P.T.

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1003095829
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12750 Issued in FL
Practice address
1803 Miccosukee Commons Dr
Suite 202
Tallahassee, FL 32308-5433
Phone
(850) 402-0200
Fax
(850) 402-0564
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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 12750 FL Primary

Addresses

Primary practice location

1803 Miccosukee Commons Dr
Suite 202
Tallahassee, FL 32308-5433

Mailing address

PO Box 12578
Tallahassee, FL 32317-2578
Phone (850) 402-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000586 FL Practitioner - Physical Therapist in Private Practice 6800976648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12750FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Mar 23, 2021 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Mar 23, 2021 Accepting new patients
Medical Rehabilitation Specialist III Inc Past Accepting new patients
Medical Rehabilitation Specialists II Inc Past Accepting new patients

Locations

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 4

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1003095829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12578",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172578",
            "telephone_number": "850-402-0200",
            "fax_number": "850-402-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 MICCOSUKEE COMMONS DR",
            "address_2": "SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433",
            "telephone_number": "850-402-0200",
            "fax_number": "850-402-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "SONYA",
        "middle_name": "F",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "12750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.