Active NPI
Sophia Lourdes Amanda Ordaniza, DPT
- Physical Therapist
- Jeffersonville, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.133982
- Practice address
- 301 Stoney Meadow LN
Jeffersonville, VT 05464-4448 - Phone
- (347) 510-4084
- NPI assigned
- Apr 2, 2025
- Last updated
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 040.133982 | VT | Primary |
Addresses
Primary practice location
301 Stoney Meadow LN
Jeffersonville, VT 05464-4448
Mailing address
301 Stoney Meadow LN
Jeffersonville, VT 05464-4448
Phone (347) 510-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 Route 7 S
Milton, VT 05468-3807
Phone (802) 893-1413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.133982 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Trail Physical Therapy | Current | Accepting new patients | |
| All Seasons Physical Therapy Consultants Inc | Physical Therapist | Current | Accepting new patients |
Locations
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
414 Route 7 S
Milton, VT 05468
Phone (802) 893-1413
61 Huntington Rd
#1A
Richmond, VT 05477
Phone (802) 434-8495
Organizations & group practices 2
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 Long Trail Physical Therapy
- Physical Therapist
- Burlington, VT
- NPI 1770651523
-
- Athletic Trainer
- Richmond, VT
- NPI 1710233259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1326842097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 STONEY MEADOW LN",
"city": "JEFFERSONVILLE",
"state": "VT",
"postal_code": "054644448",
"telephone_number": "347-510-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 STONEY MEADOW LN",
"city": "JEFFERSONVILLE",
"state": "VT",
"postal_code": "054644448",
"telephone_number": "347-510-4084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDANIZA",
"first_name": "SOPHIA LOURDES AMANDA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.133982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.