Individual provider Active NPI

Lauryn Sonnenberg, DPT

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1689458796
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02196500 Issued in NJ
Practice address
15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone
(973) 744-2770
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02196500 NJ Primary

Addresses

Primary practice location

15 Bloomfield Ave
Montclair, NJ 07042-4888

Mailing address

15 Bloomfield Ave
Montclair, NJ 07042-4888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009002274 NJ Practitioner - Physical Therapist in Private Practice 3870948029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parabolic Performance and Rehab, LLCGroup PAC ID 8022200278, 10 clinicians

Practice addresses (Care Compare)

15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 477-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02196500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parabolic Performance & Rehab, LLC CurrentSince Dec 31, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist PastSince Sep 1, 2023 Accepting new patients
Parabolic Performance & Rehabilitation Hackensack, LLC Physical Therapist PastSince Jul 1, 2016 Accepting new patients
Parabolic Performance & Rehabilitation Little Falls LLC Physical Therapist PastSince Dec 1, 2013 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170

79 Hudson St
Hoboken, NJ 07030
Phone (201) 792-1170

15 Bloomfield Ave
Montclair, NJ 07042
Phone (973) 477-2770

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 6

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1689458796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424888",
            "telephone_number": "973-744-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENBERG",
        "first_name": "LAURYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02196500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.