Active NPI
Sonja Moik, DPT, PT
- Physical Therapist
- Wrentham, MA
National Provider Identifier
1033517842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21472
- Practice address
- 513 South St
Wrentham, MA 02093-1565 - Phone
- (508) 876-7289
- Fax
- (508) 384-3200
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21472 | MA | Primary |
Addresses
Primary practice location
513 South St
Wrentham, MA 02093-1565
Mailing address
388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone (781) 388-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21472 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1033517842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 PLEASANT ST",
"address_2": "SUITE 305",
"city": "MALDEN",
"state": "MA",
"postal_code": "021488143",
"telephone_number": "781-388-0012",
"fax_number": "781-388-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 SOUTH ST",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "020931565",
"telephone_number": "508-876-7289",
"fax_number": "508-384-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOIK",
"first_name": "SONJA",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wrentham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.