Individual provider Active NPI

Karissa Sonneberger, DPT

  • Physical Therapist
  • Auburn, IN
National Provider Identifier
1942066295
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
701 North St
Auburn, IN 46706-1633
Phone
(260) 333-0031
Fax
(260) 333-0685
NPI assigned
Feb 26, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

701 North St
Auburn, IN 46706-1633

Mailing address

701 North St
Auburn, IN 46706-1633
Phone (260) 333-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240304002795 IN Practitioner - Physical Therapist in Private Practice 9032554795 Reassigns benefits to 1 organization
I20240802000831 OH Practitioner - Physical Therapist in Private Practice 9032554795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Physical TherapyGroup PAC ID 5496148389, 8 clinicians

Practice addresses (Care Compare)

143 E High St
Hicksville, OH 43526-1159
Phone (260) 333-0031

701 N St
Auburn, IN 46706-1633
Phone (260) 797-2572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

701 North St
Auburn, IN 46706
Phone (260) 333-0031

701 North St
Ste 105
Auburn, IN 46706

143 E High St
Hicksville, OH 43526
Phone (260) 333-0031

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1942066295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NORTH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061633",
            "telephone_number": "260-333-0031",
            "fax_number": "260-333-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NORTH ST",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061633",
            "telephone_number": "260-333-0031",
            "fax_number": "260-333-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNEBERGER",
        "first_name": "KARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.