Sonrie Gervacio Pickens, PT, DPT, ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1188926 Issued in TX

Practice address

1100 Willford Hall Loop
BLDG 4554
Jbsa-Lackland, TX 78236

Phone

(210) 292-0303

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peak Emg PLLC

  • Clinical Electrophysiology Physical Therapist
  • Live Oak, TX
  • NPI 1225813629

  Electrophysiology, Clinical

  NPD Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1629203880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILLFORD HALL LOOP",
            "address_2": "BLDG 4554",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "SONRIE",
        "middle_name": "GERVACIO",
        "credential": "PT, DPT, ECS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "TX",
            "license": "1188926",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1188926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Richard Phillips, DPT
• Assia L Phoenix, APRN, FNP-C
• Charlene Rose Barrera Piad, BSN, RN
• Jeb S. Pickard, M.D.
• Daniel Ray Pickel, LCSW
• Maria Antoinette Pitts, MSW, LCSW
• Christopher L Podlin, DMD
• Matthew Pombo, D.O.
• Jaime Jose Pons Valerio, PSY.D.
• Matthew T Popp, DDS

• Physical Therapist in Jbsa-Lackland, TX
• Providers in Jbsa-Lackland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.