Organization Active NPI

Sonoran Shoulder Elbow Hand Rehab PC

  • Hand Physical Therapist
  • Tucson, AZ
National Provider Identifier
1073509808
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
2084 Issued in AZ
Legal business name
SONORAN SHOULDER ELBOW HAND REHAB PC
Practice address
899 N. Wilmot Road
Suite D3
Tucson, AZ 85711-1713
Phone
(520) 747-2959
Fax
(520) 747-2918
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Ann Elizabeth Vonkersburg, PT CHT
Title
Owner
Phone
(520) 747-2959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251H1200X 2084 AZ Primary

Addresses

Primary practice location

899 N. Wilmot Road
Suite D3
Tucson, AZ 85711-1713

Mailing address

899 N. Wilmot Road
Suite D3
Tucson, AZ 85711-1713
Phone (520) 747-2959

Other identifiers 1

IdentifierTypeStateIssuer
AZ0461690OtherAZBCBSAZ

National Provider Directory

National Provider Directory

Locations

258 E River Rd
Tucson, AZ 85704
Phone (520) 882-0773

258 E River Rd
Ste 100
Tucson, AZ 85704
Phone (520) 882-0773

899 N Wilmot Rd
Ste D3
Tucson, AZ 85711
Phone (520) 747-2959

975 N Alvernon Way
Tucson, AZ 85711
Phone (520) 747-2959

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1073509808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N. WILMOT ROAD",
            "address_2": "SUITE D3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111713",
            "telephone_number": "520-747-2959",
            "fax_number": "520-747-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N. WILMOT ROAD",
            "address_2": "SUITE D3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111713",
            "telephone_number": "520-747-2959",
            "fax_number": "520-747-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SHOULDER ELBOW HAND REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "VONKERSBURG",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-747-2959",
        "authorized_official_credential": "PT CHT"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "AZ",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "AZ0461690",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.