Individual provider Active NPI

Sonal Vaidya, P.T.

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1083030720
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1236448 Issued in TX
Practice address
700 Alma Dr
Suite 135
Plano, TX 75075-8807
Phone
(972) 424-5840
Fax
(972) 423-9427
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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 1236448 TX Primary

Addresses

Primary practice location

700 Alma Dr
Suite 135
Plano, TX 75075-8807

Mailing address

1150 N Watters Rd
Ste 105
Allen, TX 75013-5536
Phone (972) 424-5840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001893 TX Practitioner - Physical Therapist in Private Practice 2062635121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandm Health Services CorporationGroup PAC ID 6406238179, 2 clinicians

Practice addresses (Care Compare)

7502 Eldorado Pkwy
Suite 100 Fyzical Therapy and Balance Cente
McKinney, TX 75070-1467
Phone (469) 424-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1236448TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzio Group LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
M&M Health Services Corporation CurrentSince Jan 1, 2026 Accepting new patients
Blue Ribbon Dermatology PLLC CurrentSince Dec 1, 2024 Accepting new patients
Huffman Rehab PLLC Physical Therapist Past Accepting new patients

Locations

1150 N Watters Rd
Ste 105
Allen, TX 75013
Phone (469) 331-3242

1815 W Campbell Rd
Ste 2
Garland, TX 75044
Phone (972) 782-2423

7502 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (469) 424-3212

1400 N Coit Rd
Ste 605
McKinney, TX 75071
Phone (214) 257-8740

2144 N Lake Forest Dr
#200
McKinney, TX 75071
Phone (972) 782-2353

Organizations & group practices 4

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1083030720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "STE 105",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135536",
            "telephone_number": "972-424-5840",
            "fax_number": "972-423-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ALMA DR",
            "address_2": "SUITE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758807",
            "telephone_number": "972-424-5840",
            "fax_number": "972-423-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SONAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1236448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.