Active NPI
John-Justin Soy
- Physical Therapist
- El Paso, TX
National Provider Identifier
1083152292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60861842
- Practice address
- 4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1205 - Phone
- (915) 751-0599
- NPI assigned
- Feb 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60861842 | WA | Primary |
| Physical Therapist | 225100000X | 1287583 | TX |
Addresses
Primary practice location
4242 Hondo Pass Dr
Suite 110
El Paso, TX 79904-1205
Mailing address
10004 204TH Ave E
Ste 3100
Bonney Lake, WA 98391-6540
Phone (253) 863-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60861842 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1083152292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 204TH AVE E",
"address_2": "STE 3100",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983916540",
"telephone_number": "253-863-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 HONDO PASS DR",
"address_2": "SUITE 110",
"city": "EL PASO",
"state": "TX",
"postal_code": "799041205",
"telephone_number": "915-751-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOY",
"first_name": "JOHN-JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-08",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60861842",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1287583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.