Active NPI
Peter Sorensen
- Physical Therapy Assistant
- Gastonia, NC
National Provider Identifier
1760070429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7101
- Practice address
- 969 Cox Rd
Gastonia, NC 28054-3455 - Phone
- (704) 866-8596
- NPI assigned
- Jan 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4309 | SC | |
| Physical Therapy Assistant | 225200000X | 041.0133906 | VT | |
| Physical Therapy Assistant | 225200000X | A7101 | NC | Primary |
Addresses
Primary practice location
969 Cox Rd
Gastonia, NC 28054-3455
Mailing address
969 Cox Rd
Gastonia, NC 28054-3455
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
| License | State | Type | Specialty |
|---|---|---|---|
| A7101 | NC | MD | Physical Therapy Assistant |
| 4309 | SC | MD | Physical Therapy Assistant |
| 041.0133906 | VT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1760070429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543455",
"telephone_number": "704-866-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "4309",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VT",
"license": "041.0133906",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.