Individual provider Active NPI

Nicole Sontheimer, PT

  • Physical Therapist
  • Magnolia, TX
National Provider Identifier
1538794359
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6589 Issued in ID
Practice address
6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519
Phone
(936) 273-0808
Fax
(936) 273-0860
NPI assigned
Mar 12, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 PT-6589 ID Primary

Addresses

Primary practice location

6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519

Mailing address

6318 FM 1488 Rd Ste 150
Magnolia, TX 77354-2519
Phone (936) 273-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410000673 TX Practitioner - Physical Therapist in Private Practice 5294164315 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingwood Physical Therapy LTDGroup PAC ID 1759488125, 24 clinicians
Lake Houston Physical Therapy Limited PartnershipGroup PAC ID 5294643680, 6 clinicians

Practice addresses (Care Compare)

6318 FM 1488 Rd
Suite 150
Magnolia, TX 77354-2519
Phone (936) 273-0808

7840 FM 1960
Suite 408 And409
Humble, TX 77346-2259
Phone (281) 812-6665

7840 FM 1960 E
Suite 409
Humble, TX 77346-2259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-6589IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingwood Physical Therapy LTD. Physical Therapist Current Accepting new patients
Lake Houston Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Cleveland Physical Therapy LTD Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 5, 2021 Accepting new patients
Kingwood Physical Therapy LTD. Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Kingwood Physical Therapy LTD Physical Therapist Past Accepting new patients
Kingwood Physical Therapy LTD Past Accepting new patients

Locations

5800 Lonetree Blvd
Ste 101
Rocklin, CA 95765
Phone (916) 302-9200

102 N Travis Ave
Cleveland, TX 77327
Phone (281) 592-2884

13215 Grant Rd
Ste 900
Cypress, TX 77429
Phone (832) 220-9211

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

7840 FM 1960 Rd E
Ste 408
Humble, TX 77346
Phone (281) 812-6665

23780 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-1838

6318 FM 1488 Rd
Ste 150
Magnolia, TX 77354
Phone (936) 273-0808

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

21301 Kuykendahl Rd
Ste B
Spring, TX 77379
Phone (281) 379-2102

Organizations & group practices 8

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1538794359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD STE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542519",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 FM 1488 RD STE 150",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542519",
            "telephone_number": "936-273-0808",
            "fax_number": "936-273-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTHEIMER",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.