Individual provider Active NPI

Sonya M Bhattal, PT, MSPT, CERT DN

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1104924125
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005005 Issued in VA
Practice address
1700 Willow Lawn Dr Ste 230
Richmond, VA 23230-3003
Phone
(804) 340-1193
Fax
(804) 340-1930
NPI assigned
Sep 21, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305005005 VA Primary
Orthopedic Physical Therapist 2251X0800X 2305005005 VA

Addresses

Primary practice location

1700 Willow Lawn Dr Ste 230
Richmond, VA 23230-3003

Mailing address

1700 Willow Lawn Dr Ste 230
Richmond, VA 23230-3003
Phone (804) 340-1193

Other practice location 1

2200 Pump Rd Ste 200
Richmond, VA 23233-3539
Phone (804) 917-3221

Other identifiers 1

IdentifierTypeStateIssuer
C05954OtherVAGROUP MEDICARE PTAN

Other names 1

  • Ms. Sonya M Bautista Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000277 VA Practitioner - Physical Therapist in Private Practice 4284632605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

2040 John Rolfe Pkwy
Richmond, VA 23238-8111
Phone (804) 754-0916

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305005005VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Ashland Physical Therapy Associates Inc Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Richmond Physical Therapy Corp Physical Therapist PastSince Aug 13, 2001 Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 8

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1104924125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILLOW LAWN DR STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303003",
            "telephone_number": "804-340-1193",
            "fax_number": "804-340-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILLOW LAWN DR STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303003",
            "telephone_number": "804-340-1193",
            "fax_number": "804-340-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Pump Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232333539",
            "country_code": "US",
            "telephone_number": "804-917-3221",
            "fax_number": "804-340-1930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATTAL",
        "first_name": "SONYA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT, MSPT, CERT DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005005",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305005005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONYA",
            "last_name": "BAUTISTA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PT,  MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.