Erin Nicole Sorenson, PTA
Individual provider Active NPI Physical Therapy Assistant · Delta, UT
NPI 1811748759 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1811748759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 7372716-2402 (UT)
- Practice address
- 95 White Sage Ave Ste C
Delta, UT 84624-5555 - Phone
- (435) 262-0855
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7372716-2402 | UT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7372716-2402 | UT | Yes |
Addresses
Primary practice location
95 White Sage Ave Ste C
Delta, UT 84624-5555
Mailing address
1275 W 1000 S
Delta, UT 84624-7810
Phone (435) 262-0855
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All providers in Delta, UT · Physical Therapy Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.