Individual provider Active NPI

Kimberly Sonkin Thruston, MOT OTRL CHT

  • Hand Occupational Therapist
  • Charlottesville, VA
National Provider Identifier
1649232570
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119002963 Issued in VA
Practice address
410 Albemarle SQ
Charlottesville, VA 22901-7400
Phone
(434) 817-4278
Fax
(434) 817-4279
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0119002963 VA Primary

Addresses

Primary practice location

410 Albemarle SQ
Charlottesville, VA 22901-7400

Mailing address

PO Box 1583
Charlottesville, VA 22902-1583
Phone (434) 982-7794

Other identifiers 2

IdentifierTypeStateIssuer
010349087MedicaidVA
P00377986OtherVAMEDICARE PIN

Other names 1

  • Kimberly Sonkin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000228 VA Practitioner - Occupational Therapist in Private Practice 9830190321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

1622 Timberwood Blvd
Suite 211
Charlottesville, VA 22911-7545
Phone (434) 202-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119002963VAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Hand CurrentSince Jul 24, 2024 Accepting new patients
Ivyrehab Sept, LLC Hand CurrentSince Jul 24, 2024 Accepting new patients

Locations

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

1622 Timberwood Blvd
Ste 211
Charlottesville, VA 22911
Phone (434) 202-2830

16260 Bennett Rd
Culpeper, VA 22701
Phone (540) 727-0737

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1649232570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229021583",
            "telephone_number": "434-982-7794",
            "fax_number": "434-982-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017400",
            "telephone_number": "434-817-4278",
            "fax_number": "434-817-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUSTON",
        "first_name": "KIMBERLY",
        "middle_name": "SONKIN",
        "name_prefix": "Mrs.",
        "credential": "MOT OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119002963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010349087",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00377986",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SONKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.