Sonja J. Serwold, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008705 Issued in WA

Practice address

100 2ND Ave S
Ste 160
Edmonds, WA 98020-3551

Phone

(206) 601-6084

Fax

(425) 385-0988

NPI assigned

Sep 11, 2006

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain2City Physical Therapy PLLCGroup PAC ID 5193001949, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountain2City Physical Therapy, PLLC

  • Physical Therapist
  • Edmonds, WA
  • NPI 1104369511
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1437253457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982724570",
            "telephone_number": "360-799-6921",
            "fax_number": "360-799-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S",
            "address_2": "STE 160",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203551",
            "telephone_number": "206-601-6084",
            "fax_number": "425-385-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERWOLD",
        "first_name": "SONJA",
        "middle_name": "J.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireille P Sema, LMP
• Ha-Neul Seo, MD
• Mara Serafin X, LMHC
• Serenity Woods , LLC
• Denise M Serfas, MSW, LICSW
• Samuel K Seto, M.D.
• Steven Jiansuen Seto
• Katherine A. Severinghaus, DPT
• Haley Shadoan, MS CCC-SLP
• Prachi H Shah, DDS

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.