Individual provider Active NPI

Robert Joseph Sonnenberg, PT, ATC

  • Physical Therapist
  • Stafford, VA
National Provider Identifier
1255637013
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209356 Issued in VA
Practice address
2777 Jefferson Davis Hwy
Stafford, VA 22554-8323
Phone
(540) 412-8998
NPI assigned
Jan 26, 2011
Last updated
Jun 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150803000247 VA Practitioner - Physical Therapist in Private Practice 7517134208 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
23419MDMDClinical Social Worker
2305209356VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. Current Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 1, 2019 Accepting new patients
Mary Washington Hospital Inc. CurrentSince May 1, 2021 Accepting new patients
Total Therapy Solutions LLC Physical Therapist PastSince Jul 1, 2011 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.

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.

Verify at the official NPI Registry.