Sonia Ann Berry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1916 Issued in TN

Practice address

270 E. Court Ave
Suite B
Selmer, TN 38375

Phone

(731) 645-7932

Fax

(731) 645-5195

NPI assigned

Mar 9, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Sonia P Shempert Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2020.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1699098335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HWY 45 BYPASS",
            "address_2": "SUITE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-660-7971",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E. COURT AVE",
            "address_2": "SUITE B",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "38375",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SONIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018114",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "SHEMPERT",
            "middle_name": "P",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandy Bates, BSW
• James Daniel Baxter, M.D.
• Ron E Bell, D.D.S.
• Sarah Bergman, DO
• Catherine Frances Bernier
• Stacie Michelle Black, PHARM D
• Stephanie Irene Brave Eagle, LCSW
• Tami Buck, BA
• William Burney, M.R.E.
• Katie Leann Chandler, D.C.

• All providers in Selmer, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.