Susan Sonoda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 10048 Issued in CA

Practice address

2222 Bancroft Way
#4300
Berkeley, CA 94720-4300

Phone

(510) 642-0607

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports and Orthopedic Specialists

  • Physical Therapist
  • Oakland, CA
  • NPI 1104914597
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366584682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ADA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT WAY",
            "address_2": "#4300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204300",
            "telephone_number": "510-642-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONODA",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10048",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "10368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Jyotindra Soneji, M.D., PH.D.
• Ann Song
• Hanna Song
• Phoenix Song, LMFT
• Xiaoxia Song
• Behram R Soonawala, M.D.
• Stephen Sooter, MS, RAS
• Sophia N. Mirviss, M.D., Inc.
• John Russell Sordean, OMD LAC ND
• Soreeyes Enterprises, Inc.

• Physical Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.