Individual provider Active NPI

Jessica Soros

  • Physical Therapist
  • Lincolnwood, IL
National Provider Identifier
1013368281
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.022197
Practice address
6540 N Lincoln Ave Ste 100
Lincolnwood, IL 60712-3927
Phone
(847) 770-7900
Fax
(847) 779-7901
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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 070.022197 Primary

Addresses

Primary practice location

6540 N Lincoln Ave Ste 100
Lincolnwood, IL 60712-3927

Mailing address

900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314001623 FL Practitioner - Physical Therapist in Private Practice 1052604048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

13039 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (833) 493-4325

1355 Oakfield Dr
Brandon, FL 33511-4841
Phone (833) 918-2233

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6312
Phone (833) 493-4325

2724 5TH St W
Suite a
Lehigh Acres, FL 33971-1581
Phone (239) 303-1501

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 3, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 11, 2023 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 17, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 11, 2023 Accepting new patients
Consultants in Neurology, LTD PastSince Nov 7, 2014 Accepting new patients

Locations

1355 Oakfield Dr
Brandon, FL 33511
Phone (813) 900-7246

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

13039 Summerfield Square Dr
Riverview, FL 33578

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Phone (813) 875-2600

Interoperability endpoints

  • Direct secure messaging: jessica.soros.1@8042.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1013368281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 N LINCOLN AVE STE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123927",
            "telephone_number": "847-770-7900",
            "fax_number": "847-779-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "070.022197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.