SONAM SHETH (PT) – Physical Therapist, NPI 1679908636

SONAM SHETH (PT) is a healthcare provider. based in Berlin, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 12470-24 (WI). The NPI Number for SONAM SHETH (PT) is 1679908636

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SONAM SHETH (PT)
NPI
1679908636
Phone
(920) 361-5534
Address
225 MEMORIAL DR
Enumeration Date
10 September 2013
Last Update Date
17 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202324040
Graduation Year
2009 (17 years ago)
PAC ID
5597150060
Group Practice PAC ID
9830118033
Professional Enrollment ID
I20220318002160
Address ID
WI549047951OS515XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for SONAM SHETH (PT)

  • 225 MEMORIAL DR

    BERLIN, WI 549231243

    Phone: (920) 361-5534

    Fax: (920) 361-5910

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220318002160IPhysical Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54923)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830118033View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

What unique ID ties claims to SONAM SHETH (PT)?
NPI 1679908636 is assigned to SONAM SHETH (PT) under the national enumeration system.
Is SONAM SHETH (PT) active in the national directory?
SONAM SHETH (PT)'s public NPI profile is in an active state.
What field does SONAM SHETH (PT) work in?
You can think of SONAM SHETH (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is SONAM SHETH (PT)'s primary listing?
We display Berlin, Wisconsin because that is what the record indicates for SONAM SHETH (PT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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