Active NPI
Sonya Blyakher
- Physical Therapist
- Edina, MN
National Provider Identifier
1629619218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11494
- Practice address
- 6401 France Ave S
Edina, MN 55435-2104 - Phone
- (952) 924-5000
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11494 | MN | Primary |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435-2104
Mailing address
1341 Carling Dr Apt 146
Saint Paul, MN 55108-5234
Phone (952) 564-7853
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1629619218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 CARLING DR APT 146",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085234",
"telephone_number": "952-564-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554352104",
"telephone_number": "952-924-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYAKHER",
"first_name": "SONYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.