Source One Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOURCE ONE REHABILITATION

Practice address

5425 W Spring Creek Pkwy Ste 270
Plano, TX 75024-4317

Phone

(972) 801-2190

Fax

(972) 801-2191

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Jarrod Rogers

Title

Pres/Ceo

Phone

(214) 577-9191

Specialties & licenses 11

Addresses

Tax ID family

JTJ Marketing Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• JTJ Marketing

  • Physical Therapy Clinic/Center
  • Dallas, TX
  • NPI 1326111451
  NPD tax ID
• JTJ Marketing

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1881767945
  NPD tax ID
• JTJ Marketing Inc

  • Physical Therapist
  • Cedar Hill, TX
  • NPI 1134472210
  NPD tax ID
• JTJ Marketing, Inc.

  • Physical Therapist
  • Garland, TX
  • NPI 1164776233
  NPD tax ID
• JTJ Marketing, Inc.

  • Physical Therapist
  • Irving, TX
  • NPI 1497008593
  NPD tax ID
• Source One Physical Therapy

  • Physical Therapist
  • Plano, TX
  • NPI 1356746978
  NPD tax ID

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1093090128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251728",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251517",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 270",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244317",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 Independence Pkwy Ste 110A",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750254000",
            "country_code": "US",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 Bridge St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761122352",
            "country_code": "US",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOURCE ONE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "214-577-9191"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soulfully Rooted Wellness PLLC
• Padmasree Soundarraj, APRN
• Source 1 Medical Inc
• Source One North Plano LLC
• Source One Physical Therapy
• Source One Rehabilitation
• Source One Therapy, LLC
• South Limestone Hospital District
• South Side Surgery PA
• South Texas Dental Associates, L.P.

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.