Active NPI
Sonia A Maynard, PT
- Physical Therapist
- Gloucester, VA
National Provider Identifier
1649745894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 133714
- Practice address
- 6450 Ark Rd
Gloucester, VA 23061-3358 - Phone
- (316) 925-1274
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 133714 | AK | Primary |
Addresses
Primary practice location
6450 Ark Rd
Gloucester, VA 23061-3358
Mailing address
6450 Ark Rd
Gloucester, VA 23061-3358
Phone (316) 925-1274
Other names 1
- Sonia Sanchez Paredes
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Rebuilders, PLLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Gloucester, VA
- NPI 1750065157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1649745894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 ARK RD",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613358",
"telephone_number": "316-925-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 ARK RD",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613358",
"telephone_number": "316-925-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "SONIA",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "133714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONIA",
"last_name": "SANCHEZ PAREDES",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.