Active NPI
Sonya Gorski Rissmiller, MD
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 9800057
- Practice address
- 1100 Blythe Blvd
Charlotte, NC 28203-5814 - Phone
- (704) 355-9330
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 9800057 | NC | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 9800057 | NC | Primary |
Addresses
Primary practice location
1100 Blythe Blvd
Charlotte, NC 28203-5814
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
5651 Poplar Tent Rd
Ste 102
Concord, NC 28027-7686
Phone (704) 863-4878
Other practice location 2
9726 Sam Furr Rd
Huntersville, NC 28078-8218
Phone (704) 863-4878
Other practice location 3
5735 Prosperity Crossing Dr
Ste 2100
Charlotte, NC 28269-1360
Phone (704) 863-4878
Other practice location 4
14214 Ballantyne Lake Rd
Ste 150
Charlotte, NC 28277-3372
Phone (704) 863-4878
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srissmiller128902@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9800057 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
5735 Prosperity Crossing Dr
Ste 2100
Charlotte, NC 28269
1100 Blythe Blvd
Charlotte, NC 28203
Phone (704) 355-4300
14214 Ballantyne Lake Rd
Ste 150
Charlotte, NC 28277
Phone (704) 373-1813
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
5651 Poplar Tent Rd
Ste 102
Concord, NC 28027
Phone (704) 782-4878
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
5641 Poplar Tent Rd
Ste 101
Concord, NC 28027
Phone (704) 782-1955
9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310
Interoperability endpoints
- srissmiller128902@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 9
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.
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- NPI 1275774333
-
- Orthopaedic Surgery Physician
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- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Specialist
- Charlotte, NC
- NPI 1689628158
-
- Pediatrics Physician
- Lincolnton, NC
- NPI 1265711956
-
- Sports Medicine (Family Medicine) Physician
- Concord, NC
- NPI 1295967586
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1124058136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035814",
"telephone_number": "704-355-9330"
}
],
"practiceLocations": [
{
"address_1": "5651 Poplar Tent Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280277686",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9726 Sam Furr Rd",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280788218",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5735 Prosperity Crossing Dr",
"address_2": "STE 2100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282691360",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14214 Ballantyne Lake Rd",
"address_2": "Ste 150",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773372",
"country_code": "US",
"telephone_number": "704-863-4878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISSMILLER",
"first_name": "SONYA",
"middle_name": "GORSKI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NC",
"license": "9800057",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "9800057",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srissmiller128902@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1100 Blythe Blvd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035814",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.