Active NPI
Sonam Sheth, PT
- Physical Therapist
- Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12470-24
- Practice address
- 225 Memorial Dr
Berlin, WI 54923-1243 - Phone
- (920) 361-5534
- Fax
- (920) 361-5910
- NPI assigned
- Sep 10, 2013
- Last updated
- Jun 17, 2014
- 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 | 12470-24 | WI | Primary |
Addresses
Primary practice location
225 Memorial Dr
Berlin, WI 54923-1243
Mailing address
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-5534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12470-24 | Other | WI | STATE OF WISCONSIN LICENCE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 S Washburn St
Suite 100
Oshkosh, WI 54904-7951
Phone (920) 232-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Spine Therapy of Menasha SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic and Spine Therapy of Menasha SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Menasha SC | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Spine Therapy of Oshkosh SC | Physical Therapist | Current | Accepting new patients |
Locations
4000 N Providence Ave
Appleton, WI 54913
Phone (920) 257-2000
1 Bank Ave
Ste C
Kaukauna, WI 54130
Phone (920) 759-9075
1000 Midway Rd
Menasha, WI 54952
Phone (920) 257-2000
515 S Washburn St
Ste 100
Oshkosh, WI 54904
Phone (920) 232-4040
Organizations & group practices 4
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.
-
- Physical Therapist
- Oshkosh, WI
- NPI 1952418816
-
- Physical Therapist
- Kaukauna, WI
- NPI 1831260611
-
- Physical Therapist
- Menasha, WI
- NPI 1205863602
-
- Physical Therapist
- Appleton, WI
- NPI 1932136322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1679908636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEMORIAL DR",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231243",
"telephone_number": "920-361-5534",
"fax_number": "920-361-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEMORIAL DR",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231243",
"telephone_number": "920-361-5534",
"fax_number": "920-361-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETH",
"first_name": "SONAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12470-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN LICENCE NO.",
"identifier": "12470-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.