Bhavti Soni

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01732600 Issued in NJ

Practice address

112 Town Center Dr
Warren, NJ 07059-2650

Phone

(908) 509-1771

Fax

(908) 333-6869

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren Physical Therapy and Wellness LLCGroup PAC ID 5092053652, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Warren Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Warren, NJ
  • NPI 1053812826
  Medicare reassignment Care Compare group Authorized official
• Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC

  • Gynecology Physician
  • New York, NY
  • NPI 1710022140
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1093187270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 TOWER BLVD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546674",
            "telephone_number": "908-509-1771",
            "fax_number": "908-333-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TOWN CENTER DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592650",
            "telephone_number": "908-509-1771",
            "fax_number": "908-333-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088546674",
            "country_code": "US",
            "telephone_number": "917-960-5853",
            "fax_number": "908-333-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONI",
        "first_name": "BHAVTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01732600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Socha
• Soft Care Dental Group
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• Somerset Hills Residential Treatment Center, Inc.
• Somerset Women's Care, LLC
• Lindsey Soper, OTD, OTR/L
• Special Needs Residence (Mt Bethel Village)
• Special Needs Residence LLC (Mt Bethel Village)
• Special Needs Residence LLC (Mt Bethel Village)
• Special Needs Residence LLC (Mt Bethel Village)

• Physical Therapist in Warren, NJ
• Providers in Warren, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.