Source One Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOURCE ONE REHABILITATION

Practice address

5425 W Spring Creek Pkwy
Suite 130
Plano, TX 75024-4236

Phone

(972) 801-2190

Fax

(972) 801-2191

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jarrod Rogers, PRES

Title

President

Phone

(214) 577-9191

Specialties & licenses 1

Addresses

Tax ID family

Source One Rehabilitation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Syzygy Assoc.

  dba Source One Rehabilitation

  • Occupational Therapist
  • Dallas, TX
  • NPI 1669696704
  NPD tax ID
• Syzygy Assoc. L.P.

  dba Source One Rehabilitation

  • Occupational Therapist
  • Dallas, TX
  • NPI 1043434186
  NPD tax ID
• Syzygy Associates LP

  dba Source One Rehabilitation

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1689747750
  NPD tax ID
• Syzygy Associates LP

  dba Source One Rehabilitation

  • Physical Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811060981
  NPD tax ID

Locations

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1235318718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25006",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761242006",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-801-2190",
            "fax_number": "972-801-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE ONE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-577-9191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRES"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmasree Soundarraj, APRN
• Source 1 Medical Inc
• Source One North Plano LLC
• Source One Physical Therapy
• Source One Rehabilitation
• Source One Therapy, LLC
• South Limestone Hospital District (Accel at Willow Bend)
• South Side Surgery PA
• South Texas Dental Associates, L.P.
• South Texas Progressive Radiology, PLLC

• Physical Therapy Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.