Active NPI
Colleen Sonderman
- Physical Therapist
- Waukesha, WI
National Provider Identifier
1376042648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2819-24
- Practice address
- N16W24131 Riverwood Dr Ste 2200B
Waukesha, WI 53188-1106 - Phone
- (262) 696-0765
- Fax
- (262) 696-0768
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2819-24 | WI | Primary |
Addresses
Primary practice location
N16W24131 Riverwood Dr Ste 2200B
Waukesha, WI 53188-1106
Mailing address
16515 Louis LN
Brookfield, WI 53005-3945
Phone (262) 844-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2819-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1376042648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16515 LOUIS LN",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053945",
"telephone_number": "262-844-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N16W24131 RIVERWOOD DR STE 2200B",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881106",
"telephone_number": "262-696-0765",
"fax_number": "262-696-0768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONDERMAN",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2819-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.