Active NPI
Soulplex Physical Therapy PLLC
- Physical Therapist
- Washington, DC
National Provider Identifier
1033968060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SOULPLEX PHYSICAL THERAPY PLLC
- Practice address
- 614 Parkside PL NE
Washington, DC 20019-1874 - Phone
- (914) 557-4416
- NPI assigned
- May 13, 2024
- Last updated
- May 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marqui Rennalls, PT
- Title
- Director
- Phone
- (914) 557-4416
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
614 Parkside PL NE
Washington, DC 20019-1874
Mailing address
614 Parkside PL NE
Washington, DC 20019-1874
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Washington, DC
- NPI 1538568191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1033968060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 PARKSIDE PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200191874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 PARKSIDE PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200191874",
"telephone_number": "914-557-4416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULPLEX PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "RENNALLS",
"authorized_official_first_name": "MARQUI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "914-557-4416",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.