Individual provider Active NPI

Mrugeshkumar Ashvinbhai Soni, PT

  • Physical Therapist
  • Irving, TX
National Provider Identifier
1184052987
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1256225 Issued in TX
Practice address
3608 Coldstream Dr
Irving, TX 75063-1256
Phone
(248) 590-5045
NPI assigned
Oct 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 5501014107 MI
Physical Therapist 225100000X 1256225 TX Primary

Addresses

Primary practice location

3608 Coldstream Dr
Irving, TX 75063-1256

Mailing address

3608 Coldstream Dr
Irving, TX 75063-1256
Phone (248) 590-5045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221031001103 TX Practitioner - Physical Therapist in Private Practice 2466860879 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

Practice addresses (Care Compare)

2840 Keller Springs Rd
Suite 1001
Carrollton, TX 75006-4876
Phone (214) 366-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014107MIMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts That Care Physical Therapy Services Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
World of Words Speech & Feeding Services, LLC Past Accepting new patients
Hearts That Care Home Care Agency LLC PastSince Apr 1, 2021 Accepting new patients
Sion Kidz, LLC Physical Therapist Past Accepting new patients
HTC Healthcare LLC PastSince Mar 11, 2024 Accepting new patients

Locations

2840 Keller Springs Rd
Ste 1001
Carrollton, TX 75006
Phone (214) 366-2004

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hearts That Care Home Care Agency LLCCarrollton, TX, CCN 748031 Home health agency Operational/Managerial Control Apr 1, 2021
HTC Healthcare LLCEdinburg, TX, CCN 679351 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Mar 11, 2024
Mar 11, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1184052987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 COLDSTREAM DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631256",
            "telephone_number": "248-590-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 COLDSTREAM DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631256",
            "telephone_number": "248-590-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "MRUGESHKUMAR",
        "middle_name": "ASHVINBHAI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-15",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "5501014107",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1256225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.