Nilesh Soni, MSPT, MAPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NY PT LIC NO: 014635 Issued in NY

Practice address

4343 Kissena Blvd
Suite 110
Flushing, NY 11355-2950

Phone

(917) 207-2950

Fax

(516) 746-1039

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy Services PCGroup PAC ID 2961390026, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1124080023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE 110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "917-207-2950",
            "fax_number": "516-746-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE 110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "917-207-2950",
            "fax_number": "516-746-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "NILESH",
        "name_prefix": "Mr.",
        "credential": "MSPT, MAPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "NY PT LIC NO: 014635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yiming Song
• Yong-Bum Song, PHARM.D.
• Young Song, CPED
• Young Jun Song, PHARMD
• Soni Care Physical Therapy PC
• Valentina Soni, PA
• Sonus Medical PC
• William D Soohoo, D.D.S.
• Sophia 600 Medi Group Inc.
• Rosemarie Soriano-Luna, CRNA

• All providers in Flushing, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.