NPIMap

Individual provider Active NPI

Amy Sonntag, OT

  • Pediatric Occupational Therapist
  • Kensington, MD
National Provider Identifier
1801270954
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
07704 Issued in MD
Practice address
5268 Nicholson LN
Suite a
Kensington, MD 20895-1009
Phone
(301) 770-5437
Fax
(301) 668-7008
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 07704 MD Primary

Addresses

Primary practice location

5268 Nicholson LN
Suite a
Kensington, MD 20895-1009

Mailing address

PO Box 283
Frederick, MD 21705-0283
Phone (240) 397-6750

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
07704MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Pediatric Physical Therapy Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1801270954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217050283",
            "telephone_number": "240-397-6750",
            "fax_number": "301-668-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN",
            "address_2": "SUITE A",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "301-770-5437",
            "fax_number": "301-668-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "AMY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "07704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.