Individual provider Active NPI

Sonja Burmeister, OTR/L

  • Pediatric Occupational Therapist
  • Coopersburg, PA
National Provider Identifier
1124187380
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
O006640L Issued in PA
Practice address
551 E Station Ave
Coopersburg, PA 18036-2027
Phone
(484) 863-9220
Fax
(484) 353-5157
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051162 PA
Pediatric Occupational Therapist 225XP0200X O006640L PA Primary

Addresses

Primary practice location

551 E Station Ave
Coopersburg, PA 18036-2027

Mailing address

551 E Station Ave
Coopersburg, PA 18036-2027
Phone (484) 863-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000496 PA Practitioner - Physician Assistant 4880589563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
O006640LPAMDPediatric Occupational Therapist
MA051162PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 22, 2015 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Aug 22, 2015 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
Valley Family Therapeutics, LLC Past Accepting new patients
Valley Family Therapeutics Past Accepting new patients
Washington Hospital Past Accepting new patients

Locations

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 7

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1124187380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027",
            "telephone_number": "484-863-9220",
            "fax_number": "484-353-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027",
            "telephone_number": "484-863-9220",
            "fax_number": "484-353-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMEISTER",
        "first_name": "SONJA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051162",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "O006640L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

Verify at the official NPI Registry.