Individual provider Active NPI

Sonya D Anderson, R.P.T.

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1063471522
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0881 Issued in SD
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 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

IdentifierTypeStateIssuer
39822OtherSDSANFORD HEALTH
0881OtherSDDAKOTACARE
4998871OtherSDWELLMARK
5831720MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000556 SD Practitioner - Physical Therapist in Private Practice 8325040686 Reassigns benefits to 1 organization

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
About You Physical Therapy IncGroup PAC ID 8628251766, 7 clinicians

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

LicenseStateTypeSpecialty
0881SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
About You Physical Therapy, Inc CurrentSince Oct 29, 2018 Accepting new patients
Pain & Movement Solutions, LLC Physical Therapist PastSince Aug 18, 2025 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.

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.

Verify at the official NPI Registry.