Active NPI
Sonya D Anderson, R.P.T.
- Physical Therapist
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0881
- Practice address
- 4141 5TH St
Rapid City, SD 57701-6021 - Phone
- (605) 399-9565
- Fax
- (605) 399-9584
- NPI assigned
- Mar 22, 2006
- Last updated
- Oct 3, 2018
- 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 | 0881 | SD | Primary |
Addresses
Primary practice location
4141 5TH St
Rapid City, SD 57701-6021
Mailing address
5622 Sheridan Lake Rd
Ste 105
Rapid City, SD 57702-8881
Phone (605) 399-9565
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39822 | Other | SD | SANFORD HEALTH |
| 0881 | Other | SD | DAKOTACARE |
| 4998871 | Other | SD | WELLMARK |
| 5831720 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3808 Sheridan Lake Rd
Rapid City, SD 57702-5394
Phone (605) 721-3307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0881 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| About You Physical Therapy, Inc | Current | Accepting new patients | |
| Pain & Movement Solutions, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2822 Jackson Blvd
Ste 202
Rapid City, SD 57702
Phone (605) 342-9575
3808 Sheridan Lake Rd
Rapid City, SD 57702
Phone (605) 219-9525
3808 Sheridan Lake Rd
Ste 100
Rapid City, SD 57702
Phone (605) 721-3307
5622 Sheridan Lake Rd
Ste 105
Rapid City, SD 57702
Phone (605) 721-3307
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Rapid City, SD
- NPI 1831492958
-
- Physical Therapist
- Belle Fourche, SD
- NPI 1073860144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1063471522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5622 SHERIDAN LAKE RD",
"address_2": "STE 105",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028881",
"telephone_number": "605-399-9565",
"fax_number": "605-399-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016021",
"telephone_number": "605-399-9565",
"fax_number": "605-399-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SONYA",
"middle_name": "D",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH",
"identifier": "39822",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "0881",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "4998871",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5831720",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.