Sorum Physiotherapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11704-24 Issued in WI

Legal business name

SORUM PHYSIOTHERAPY

Practice address

2242 W Bluemound Rd Ste B
Waukesha, WI 53186-2916

Phone

(414) 429-3030

Fax

(414) 892-5745

NPI assigned

Oct 15, 2017

Organization subpart

Yes

Parent organization

SORUM PHYSIOTHERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Wendy Kirk

Title

Credentialing Specialist

Phone

(414) 745-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sorum Physiotherapy Doing business as

Part of

Sorum Physiotherapy LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sorum Physiotherapy, LLC

  • Physical Therapist
  • Brookfield, WI
  • NPI 1407244916
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathanael P Sorum, PT

  • Physical Therapist
  • Waukesha, WI
  • NPI 1871881094
  NPD

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

{
    "created_epoch": "1508025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1912418138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 S 84TH ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291006",
            "telephone_number": "414-429-3030",
            "fax_number": "414-892-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 W BLUEMOUND RD STE B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862916",
            "telephone_number": "414-429-3030",
            "fax_number": "414-892-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORUM PHYSIOTHERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SORUM PHYSIOTHERAPY, LLC",
        "enumeration_date": "2017-10-15",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "414-745-0522"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11704-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11704-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorum Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Sonderman
• Lisa Sonnemann, MSW, LCSW
• Corissa Sonnenfeld
• Jill Sorenson, RD, CD
• Kathryn Ann Sorenson, RN
• Heather J Sorum, NP
• Nathanael P Sorum, PT
• Veronica Sosa, MS LPC
• Dina Paulette Sotola, APN
• Southeastern Wi Radiation

• Physical Therapist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.