Provider Demographics
NPI:1063612158
Name:SONSKI, AMY MARIE (PT)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:SONSKI
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:450 POWERS AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5933
Mailing Address - Country:US
Mailing Address - Phone:717-920-4950
Mailing Address - Fax:717-920-4955
Practice Address - Street 1:450 POWERS AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5933
Practice Address - Country:US
Practice Address - Phone:717-920-4950
Practice Address - Fax:717-920-4955
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP227802251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120669R9XMedicare Oscar/Certification