Organization Active NPI

Sonny Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hayden, ID
National Provider Identifier
1992235816
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Erin Daigle
Title
Owner
Phone
(818) 706-9435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992235816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 N HESS ST STE 301",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-270-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 N HESS ST STE 301",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359827",
            "telephone_number": "208-270-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-706-9435"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.