Active NPI
Sonia Catherine Ensz, P.T.A., C.L.T.
- Physical Therapy Assistant
- Edmond, OK
National Provider Identifier
1073096731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1615
- Practice address
- 612 W 18TH St
Edmond, OK 73013-3631 - Phone
- (405) 330-3994
- Fax
- (405) 330-4231
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 1615 | OK | Primary |
Addresses
Primary practice location
612 W 18TH St
Edmond, OK 73013-3631
Mailing address
20326 Antler Farms Dr
Edmond, OK 73012-0633
Phone (405) 938-5882
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1073096731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20326 ANTLER FARMS DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730120633",
"telephone_number": "405-938-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W 18TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133631",
"telephone_number": "405-330-3994",
"fax_number": "405-330-4231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSZ",
"first_name": "SONIA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "P.T.A., C.L.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.