Individual provider Active NPI

Carson Soch, PT, DPT

  • Physical Therapist
  • Downers Grove, IL
National Provider Identifier
1154936201
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.025554 Issued in IL
Practice address
3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376
Phone
(331) 775-2813
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070.025554 IL Primary

Addresses

Primary practice location

3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376

Mailing address

846 W Fletcher St Apt J3
Chicago, IL 60657-4454
Phone (224) 406-5131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020003703 IL Practitioner - Physical Therapist in Private Practice 5890115471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MJPT 2 LLCGroup PAC ID 4385186774, 4 clinicians

Practice addresses (Care Compare)

1442 W Sunnyside Ave
Chicago, IL 60640-5412
Phone (773) 337-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.025554ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromuscular Diagnostics PLLC Single Specialty CurrentSince Feb 16, 2025 Accepting new patients
MJPT 2 LLC Single Specialty CurrentSince Feb 16, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1154936201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 W FLETCHER ST APT J3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574454",
            "telephone_number": "224-406-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376",
            "telephone_number": "331-775-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCH",
        "first_name": "CARSON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.