Individual provider Active NPI

Sonja M Solomonson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1407981293
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22003724A Issued in IN
Practice address
9210 Backwater Dr
Indianapolis, IN 46250-4133
Phone
(317) 578-0121
Fax
(317) 578-0856
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22003724A IN Primary

Addresses

Primary practice location

9210 Backwater Dr
Indianapolis, IN 46250-4133

Mailing address

9210 Backwater Dr
Indianapolis, IN 46250-4133
Phone (317) 578-0121

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
22003724AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Therapy Group, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1407981293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 BACKWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504133",
            "telephone_number": "317-578-0121",
            "fax_number": "317-578-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 BACKWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504133",
            "telephone_number": "317-578-0121",
            "fax_number": "317-578-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMONSON",
        "first_name": "SONJA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003724A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; 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.