Individual provider Active NPI

Alise Sonderman, DPT

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1144822040
Registry record updated Nov 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11479 Pine Dr
Parker, CO 80134-7308
Phone
(262) 844-4450
NPI assigned
Nov 15, 2020
Last updated
Nov 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2020

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 NU Primary

Addresses

Primary practice location

11479 Pine Dr
Parker, CO 80134-7308

Mailing address

1777 Chestnut PL Apt 732
Denver, CO 80202-6546
Phone (262) 844-4450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129000938 CO Practitioner - Physical Therapist in Private Practice 2961892369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, PC Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients
Village Physical Therapy, P.C. Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients
Village Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919
Phone (720) 360-4519

4035A Club Manor Dr
#4
Pueblo, CO 81008
Phone (719) 562-0328

Organizations & group practices 3

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": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1144822040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 CHESTNUT PL APT 732",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026546",
            "telephone_number": "262-844-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 PINE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347308",
            "telephone_number": "262-844-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDERMAN",
        "first_name": "ALISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.