Individual provider Active NPI

Soumya Movva

  • Physical Therapist
  • Shrewsbury, MA
National Provider Identifier
1174962989
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20492 Issued in MA
Practice address
50 Commons Dr
#44
Shrewsbury, MA 01545-4943
Phone
(517) 755-7229
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20492 MA Primary

Addresses

Primary practice location

50 Commons Dr
#44
Shrewsbury, MA 01545-4943

Mailing address

50 Commons Dr
#44
Shrewsbury, MA 01545-4943
Phone (517) 755-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231023000174 TX Practitioner - Physical Therapist in Private Practice 6709232150 Reassigns benefits to 1 organization
I20260413000623 NC Practitioner - Physical Therapist in Private Practice 6709232150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10820 Penny Rd
Cary, NC 27518-1916
Phone (919) 303-7068

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20492MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients

Locations

10820 Penny Rd
Cary, NC 27518
Phone (919) 303-7068

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 3

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1174962989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMONS DR",
            "address_2": "#44",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454943",
            "telephone_number": "517-755-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COMMONS DR",
            "address_2": "#44",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454943",
            "telephone_number": "517-755-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVVA",
        "first_name": "SOUMYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.