Individual provider Active NPI

Amanda B Sorrill

  • Physical Therapist
  • Sitka, AK
National Provider Identifier
1114128253
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
195980 Issued in AK
Practice address
209 Moller Ave
Sitka, AK 99835-7142
Phone
(907) 747-1771
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 195980 AK Primary

Addresses

Primary practice location

209 Moller Ave
Sitka, AK 99835-7142

Mailing address

316A Wachusetts St
Sitka, AK 99835-7130
Phone (828) 691-1612

Other practice location 1

33 Valley View Ter
Waynesville, NC 28786-4548
Phone (828) 246-6566

Other practice location 2

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220428000922 NC Practitioner - Physical Therapist in Private Practice 9133516768 Reassigns benefits to 1 organization
I20230929002421 TX Practitioner - Physical Therapist in Private Practice 9133516768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 15, 2023 Accepting new patients
Southeastern Physical Therapy, LLC Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 15, 2023 Accepting new patients
Henderson County Hospital Corporation Past Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

209 Moller Ave
Sitka, AK 99835
Phone (907) 747-1722

1256 Hendersonville Rd
Asheville, NC 28803
Phone (828) 412-5330

19 Westridge Market Pl
Candler, NC 28715
Phone (828) 274-2188

33 Valley View Ter
Waynesville, NC 28786
Phone (828) 246-6566

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1114128253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316A WACHUSETTS ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357130",
            "telephone_number": "828-691-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MOLLER AVE",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357142",
            "telephone_number": "907-747-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Valley View Ter",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287864548",
            "country_code": "US",
            "telephone_number": "828-246-6566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791513",
            "country_code": "US",
            "telephone_number": "636-528-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRILL",
        "first_name": "AMANDA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "195980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.