Individual provider Active NPI

Stephen P Sonnier, PT

  • Ergonomics Physical Therapist
  • Kingwood, TX
National Provider Identifier
1851456412
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
License
1178421 Issued in TX
Practice address
20722 Water Point TRL
Kingwood, TX 77346-1328
Phone
(713) 447-3776
Fax
(281) 852-6079
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X PT6004 TN
Ergonomics Physical Therapist 2251E1200X PT3563 MS
Physical Therapist 225100000X PT-2802 HI
Ergonomics Physical Therapist 2251E1200X 1178421 TX Primary

Addresses

Primary practice location

20722 Water Point TRL
Kingwood, TX 77346-1328

Mailing address

20722 Water Point TRL
Kingwood, TX 77346-1328
Phone (713) 447-3776

Other identifiers 1

IdentifierTypeStateIssuer
4077560OtherTNBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2802HIMDPhysical Therapist
PT3563MSMDErgonomics Physical Therapist
PT6004TNMDErgonomics Physical Therapist
1178421TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of Greenville Inc PastSince Nov 15, 2001 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1851456412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20722 WATER POINT TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773461328",
            "telephone_number": "713-447-3776",
            "fax_number": "281-852-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20722 WATER POINT TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773461328",
            "telephone_number": "713-447-3776",
            "fax_number": "281-852-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNIER",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "TN",
            "license": "PT6004",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "MS",
            "license": "PT3563",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2802",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "TX",
            "license": "1178421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4077560",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.