Individual provider Active NPI

Sophia Lourdes Amanda Ordaniza, DPT

  • Physical Therapist
  • Jeffersonville, VT
National Provider Identifier
1326842097
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.133982 Issued in VT
Practice address
301 Stoney Meadow LN
Jeffersonville, VT 05464-4448
Phone
(347) 510-4084
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250617001135 VT Practitioner - Physical Therapist in Private Practice 4880105873 Reassigns benefits to 1 organization

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
All Seasons Physical Therapy Consultants IncGroup PAC ID 3971415670, 5 clinicians

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

LicenseStateTypeSpecialty
040.133982VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Trail Physical Therapy Current Accepting new patients
All Seasons Physical Therapy Consultants Inc Physical Therapist CurrentSince May 1, 2025 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.

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.

Verify at the official NPI Registry.