Organization Active NPI

Sheldon Sonnenberg

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1033453550
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1174403 Issued in TX
Legal business name
SHELDON SONNENBERG
Doing business as
1Up Sports
Practice address
2000 Windy Ter BLDG 10
Cedar Park, TX 78613-4287
Phone
(310) 880-5513
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheldon Sonnenberg, P.T., A.T.C.NPI 1245418870
Title
Physical Therapist
Phone
(310) 880-5513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1174403 TX Primary

Addresses

Primary practice location

2000 Windy Ter BLDG 10
Cedar Park, TX 78613-4287

Mailing address

4700 N Capital of Texas Hwy Apt 712
Austin, TX 78746-1130
Phone (310) 880-5513

Other names 1

  • 1Up Sports Doing business as

National Provider Directory

National Provider Directory

Locations

2000 Windy Ter
Ste 10
Cedar Park, TX 78613
Phone (310) 880-5513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1033453550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CAPITAL OF TEXAS HWY APT 712",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461130",
            "telephone_number": "310-880-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WINDY TER BLDG 10",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134287",
            "telephone_number": "310-880-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON SONNENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "SONNENBERG",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-880-5513",
        "authorized_official_credential": "P.T., A.T.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1174403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1Up Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.