Individual provider Active NPI

John-Justin Soy

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1083152292
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60861842 Issued in WA
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

Updated by the provider on Mar 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT60861842WAMDPhysical 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.

Verify at the official NPI Registry.