Kristin M Sonneborn, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01204600 Issued in NJ

Practice address

430 East Westfield Avenue Kindsouls Rehab
Roselle Park, NJ 07204

Phone

(908) 894-8317

NPI assigned

Oct 17, 2013

Last updated

Mar 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin M Dakin Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridgeway Care at Home, LLC

  • Geriatric Physical Therapist
  • Bridgewater, NJ
  • NPI 1104383421
  Medicare reassignment NPD
• Kindsouls Rehab LLC

  • Physical Therapist
  • Roselle Park, NJ
  • NPI 1093473225
  Authorized official Same address or phone
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD
• PMK Rehab,LLC

  • Rehabilitation Hospital Unit
  • Edison, NJ
  • NPI 1376721761

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1245668805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TIGER HILL DRIVE",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "07934",
            "telephone_number": "908-894-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EAST WESTFIELD AVENUE KINDSOULS REHAB",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "07204",
            "telephone_number": "908-894-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNEBORN",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01204600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DAKIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph S Sinisi, DMD
• Alexa Smith
• David Andrew Snyder, L.AC.
• Robert B Solomon, MD
• Sonal Jain,D.D.S.,P.a.
• Noah Stark, DPM
• Strength Physical Therapy LLC
• Maureen F Sweeney-McDonough, C-APN
• Kimberly Tate
• The New Center Inc.

• Physical Therapist in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.