Sonny Physical Therapy, LLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Hayden, ID
NPI 1992235816 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1992235816
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- SONNY PHYSICAL THERAPY, LLC
- Practice address
- 9030 N Hess St Ste 301
Hayden, ID 83835-9827 - Phone
- (208) 270-2371
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Erin Daigle
- Title
- Owner
- Phone
- (818) 706-9435
Practitioners 31
-
Zachary J Eagle, PT
-
Alisha Andersen, OTR
-
Rebecca Mae Cheney, PT, DPT
-
Kendra Rae Clark, OTR/L
-
Tyler Hofstee, PT
-
Ryan Stemple, PT, DPT
-
Chelsie Vetter, PT
-
Zillah B. Waine-Shotland, M.A.
-
Leila Jean Marie Zemke, OTR L
-
Alison Ramirez, DPT
-
Jerald Richard Olsen, DPT
-
Anna Kristina Collins, P.T., CERT. M.D.T
-
Emma Lee Garre, DPT
-
Michael Jason Garre, DPT
-
Taylor Ann Lapke, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ID, WA, MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170822004149 | ID | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0345512596 |
Receives reassigned benefits from 4 practitioners Practice locations: Post Falls, ID |
| O20180816001318 | WA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0345512596 |
Receives reassigned benefits from 12 practitioners Practice locations: Spokane Valley, WA |
| O20200124000732 | MT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0345512596 |
Receives reassigned benefits from 14 practitioners Practice locations: Bozeman, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
9030 N Hess St Ste 301
Hayden, ID 83835-9827
Mailing address
9030 N Hess St Ste 301
Hayden, ID 83835-9827
Phone (208) 270-2371
Other providers in Hayden, ID
- Siskiyou Living LLC
- Jill Claudine Smith
- Marie Smith
- Rachelle Smotherman
- Troy David Soenen
- Robert A Sorensen
- Spark Med Spa, LLC
- Spear TMS
- Crystal Lynn Spencer
- Amy Lynn Spoelstra
All providers in Hayden, ID · Physical Medicine & Rehabilitation Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.