Individual provider Active NPI

Soha Bharat Patel

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1083811970
Registry record updated Jul 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13607 Issued in NC
Practice address
3823 Lawndale Dr
Greensboro, NC 27455-1605
Phone
(336) 286-7076
Fax
(336) 286-7077
NPI assigned
Jul 2, 2007
Last updated
Jul 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2012

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 5696 SC
Physical Therapist 225100000X P13607 NC Primary

Addresses

Primary practice location

3823 Lawndale Dr
Greensboro, NC 27455-1605

Mailing address

4504 Brandt Ridge Dr
Greensboro, NC 27410-8445
Phone (803) 212-8626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171216000004 SC Practitioner - Physical Therapist in Private Practice 7315267630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P13607NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Rehabilitation LLC CurrentSince Sep 4, 2017 Accepting new patients

Locations

2100 Twin Church Rd
Florence, SC 29501
Phone (843) 468-2233

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1083811970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 BRANDT RIDGE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108445",
            "telephone_number": "803-212-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551605",
            "telephone_number": "336-286-7076",
            "fax_number": "336-286-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SOHA",
        "middle_name": "BHARAT",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5696",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.