Active NPI
Sheldon Sonnenberg, PT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1245418870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1174403
- Practice address
- 136 Glass St Ste 140
Dallas, TX 75207-6930 - Phone
- (469) 626-7254
- Fax
- (214) 237-1283
- NPI assigned
- Feb 6, 2008
- Last updated
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1174403 | TX | Primary |
Addresses
Primary practice location
136 Glass St Ste 140
Dallas, TX 75207-6930
Mailing address
PO Box 127
Ballinger, TX 76821-0127
Phone (512) 850-5288
Other practice location 1
351 Cypress Creek Rd
Suite 203
Cedar Park, TX 78613-4528
Phone (512) 467-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174403 | Other | TX | TX LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheldon Sonnenberg | Physical Therapist | Current | Accepting new patients |
| Human Function and Performance, LLC | Current | Accepting new patients | |
| Innovative Physicians | Past | Accepting new patients |
Locations
136 Glass St
Ste 140
Dallas, TX 75207
Phone (469) 405-1852
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.
-
dba John Earls
- Physical Therapy Clinic/Center
- Dallas, TX
- NPI 1689153793
-
- Family Medicine Physician
- West Lake Hills, TX
- NPI 1780969097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1245418870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "BALLINGER",
"state": "TX",
"postal_code": "768210127",
"telephone_number": "512-850-5288",
"fax_number": "214-237-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 GLASS ST STE 140",
"city": "DALLAS",
"state": "TX",
"postal_code": "752076930",
"telephone_number": "469-626-7254",
"fax_number": "214-237-1283"
}
],
"practiceLocations": [
{
"address_1": "351 Cypress Creek Rd",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786134528",
"country_code": "US",
"telephone_number": "512-467-1100",
"fax_number": "512-467-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONNENBERG",
"first_name": "SHELDON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1174403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "1174403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.