NPIMap

Organization Active NPI

Sonnys Place of Waynesboro

  • Occupational Therapist
  • Waynesboro, TN
National Provider Identifier
1073299681
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SONNYS PLACE OF WAYNESBORO
Practice address
514 S High St
Waynesboro, TN 38485-2615
Phone
(931) 332-6858
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Emma Risner, OTR/LNPI 1740680743
Title
Owner
Phone
(931) 332-6858

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

514 S High St
Waynesboro, TN 38485-2615

Mailing address

PO Box 261
Waynesboro, TN 38485-0261
Phone (931) 332-6858

Other names 1

  • Sonny's Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809002424 TN Part B Supplier - Clinic/Group Practice 9739541657 Receives reassigned benefits from 4 practitioners
Practice locations: Waynesboro, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1073299681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384850261",
            "telephone_number": "931-332-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852615",
            "telephone_number": "931-332-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNYS PLACE OF WAYNESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "RISNER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-332-6858",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonny's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.