Individual provider Active NPI

Sonya Hagberg, PT, DPT, CSCS

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1396354254
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4339 Issued in NV
Practice address
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Phone
(702) 515-4009
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 4339 NV Primary

Addresses

Primary practice location

6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334

Mailing address

4150 S Hualapai Way Unit 3009
Las Vegas, NV 89147-8767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824002471 NV Practitioner - Physical Therapist in Private Practice 8325465727 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4339NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Savvy Speech Therapist LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 14, 2024 Accepting new patients
Affiliated Physical Therapy Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Speakeasy Therapy Services, LLC Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients
Therapy West LLC Physical Therapist PastSince Mar 3, 2025 Accepting new patients

Locations

2490 Paseo Verde Pkwy
Ste 155
Henderson, NV 89074
Phone (702) 703-5540

1017 S Cimarron Rd
Las Vegas, NV 89145
Phone (702) 640-0631

1333 N Buffalo Dr
Unit 170
Las Vegas, NV 89128
Phone (702) 660-2694

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

6050 S Fort Apache Rd
Ste 120
Las Vegas, NV 89148
Phone (702) 728-5735

6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009

9050 W Cheyenne Ave
#210
Las Vegas, NV 89129
Phone (702) 209-0069

3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694

Organizations & group practices 5

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1396354254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 S HUALAPAI WAY UNIT 3009",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S JONES BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183334",
            "telephone_number": "702-515-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGBERG",
        "first_name": "SONYA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.