Active NPI
Robert Joseph Sonnenberg, PT, ATC
- Physical Therapist
- Stafford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305209356
- Practice address
- 2777 Jefferson Davis Hwy
Stafford, VA 22554-8323 - Phone
- (540) 412-8998
- NPI assigned
- Jan 26, 2011
- Last updated
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23419 | MD | |
| Physical Therapist | 225100000X | 2305209356 | VA | Primary |
Addresses
Primary practice location
2777 Jefferson Davis Hwy
Stafford, VA 22554-8323
Mailing address
19328 Dimona Dr
Brookeville, MD 20833-2627
Phone (301) 219-3941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3310 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 373-4602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23419 | MD | MD | Clinical Social Worker |
| 2305209356 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Hospital, Inc. | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Physical Therapist | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Hospital Inc. | Current | Accepting new patients | |
| Total Therapy Solutions LLC | Physical Therapist | Past | Accepting new patients |
Locations
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133
4400 Carr Dr
Fredericksburg, VA 22408
Phone (540) 741-1523
8051 Prosperity Way
Ste 101
Ruther Glen, VA 22546
Phone (804) 589-3151
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Physical Therapist
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Rehabilitation Practitioner
- Monroe, OH
- NPI 1114973104
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434067200000",
"number": "1255637013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19328 DIMONA DR",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208332627",
"telephone_number": "301-219-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 JEFFERSON DAVIS HWY",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548323",
"telephone_number": "540-412-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNENBERG",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "PT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-26",
"last_updated": "2015-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23419",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.