Active NPI
Sonya Rene White, LPTA
- Physical Therapy Assistant
- Port Angeles, WA
National Provider Identifier
1407053002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7960
- Practice address
- 1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640 - Phone
- (360) 452-9206
- NPI assigned
- Jun 28, 2007
- 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 Therapy Assistant | 225200000X | 7960 | OR | Primary |
Addresses
Primary practice location
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Mailing address
PO Box 3148
Port Angeles, WA 98362-0341
Phone (360) 670-3988
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7960 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407053002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3148",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620341",
"telephone_number": "360-670-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 E LAURIDSEN BLVD",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626640",
"telephone_number": "360-452-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SONYA",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "7960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- 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.