Individual provider Active NPI

Johnna M Sorensen, DPT

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1407251440
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20874 Issued in NC
Practice address
738 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 634-2676
Fax
(252) 637-4479
NPI assigned
Nov 4, 2014
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 P20874 NC Primary

Addresses

Primary practice location

738 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-3906

Other practice location 1

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002036 NC Practitioner - Physical Therapist in Private Practice 6901157221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P20874NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Current Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2025 Accepting new patients
Carolinaeast Physicians Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Carolinaeast Physicians Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

738 Newman Rd
New Bern, NC 28562
Phone (252) 633-0361

Organizations & group practices 4

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1407251440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-635-3906",
            "fax_number": "252-224-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-634-2676",
            "fax_number": "252-637-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JOHNNA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.