Individual provider Active NPI

Gregory A Sonntag, P.T.

  • Physical Therapist
  • Centralia, WA
National Provider Identifier
1295780427
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60828763 Issued in WA
Practice address
1118 View Ave
Centralia, WA 98531-1870
Phone
(360) 736-5273
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 PT60828763 WA Primary

Addresses

Primary practice location

1118 View Ave
Centralia, WA 98531-1870

Mailing address

1118 View Ave
Centralia, WA 98531-1870
Phone (360) 736-5273

Other practice location 1

4838 E Baseline Rd
Suite 105
Mesa, AZ 85206-4671
Phone (480) 890-9000

Other identifiers 1

IdentifierTypeStateIssuer
AZ0461740OtherAZBCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619000661 WA Practitioner - Physical Therapist in Private Practice 4284654906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia of Washington PCGroup PAC ID 9931633492, 22 clinicians
Timberline Rehabilitation Service PSGroup PAC ID 3476641929, 3 clinicians

Practice addresses (Care Compare)

3252 NE 3Rd Ave
Suite 2
Camas, WA 98607-2448
Phone (360) 835-7427

920 NE 112TH Ave
Suite 103
Vancouver, WA 98684-5114
Phone (360) 567-2002

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2617AZMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Timberline Rehabilitation Service, PS Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

3015 Limited Ln NW
Ste B
Olympia, WA 98502
Phone (360) 709-0700

920 NE 112th Ave
Ste 103
Vancouver, WA 98684
Phone (360) 567-2002

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1295780427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 VIEW AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311870",
            "telephone_number": "360-736-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 VIEW AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311870",
            "telephone_number": "360-736-5273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4838 E Baseline Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064671",
            "country_code": "US",
            "telephone_number": "480-890-9000",
            "fax_number": "480-890-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60828763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "AZ0461740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.