Individual provider Active NPI

Morgan Sondergeld, OTD, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1689309270
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
278620 Issued in KY
Practice address
1901 Commonwealth CT Ste B
Louisville, KY 40299-2355
Phone
(502) 458-9978
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 278620 KY Primary

Addresses

Primary practice location

1901 Commonwealth CT Ste B
Louisville, KY 40299-2355

Mailing address

4502 Westport Woods LN Unit 101
Louisville, KY 40245-2738
Phone (502) 457-0730

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

State licenses

LicenseStateTypeSpecialty
278620KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Therapy, PLLC Occupational Therapist CurrentSince Jul 31, 2023 Accepting new patients

Locations

1901 Commonwealth Ct
#B
Louisville, KY 40299
Phone (502) 458-9978

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1689309270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 WESTPORT WOODS LN UNIT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402452738",
            "telephone_number": "502-457-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COMMONWEALTH CT STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992355",
            "telephone_number": "502-458-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDERGELD",
        "first_name": "MORGAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "278620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.