Active NPI
Joseph Soojian, PT, DPT, OCS
- Physical Therapist
- Lebanon, NH
National Provider Identifier
1316424112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4673
- Practice address
- 112 Etna Rd
Lebanon, NH 03766-1559 - Phone
- (603) 643-7788
- Fax
- (603) 643-0022
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3122787 | TX | |
| Physical Therapist | 225100000X | 4673 | NH | Primary |
Addresses
Primary practice location
112 Etna Rd
Lebanon, NH 03766-1559
Mailing address
12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (888) 590-4002
Other practice location 1
1324 Common St Ste 307
New Braunfels, TX 78130-3566
Phone (830) 625-7310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4673 | NH | MD | Physical Therapist |
| 3122787 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cioffredi & Associates Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
151 Route 10 N
Grantham, NH 03753
Phone (603) 643-7788
112 Etna Rd
Lebanon, NH 03766
Phone (603) 643-7788
Organizations & group practices 1
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.
-
- Physical Therapist
- Lebanon, NH
- NPI 1821298126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1316424112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12508 JONES MALTSBERGER RD STE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474215",
"telephone_number": "888-590-4002",
"fax_number": "210-590-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ETNA RD",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661559",
"telephone_number": "603-643-7788",
"fax_number": "603-643-0022"
}
],
"practiceLocations": [
{
"address_1": "1324 Common St Ste 307",
"address_purpose": "LOCATION",
"city": "New Braunfels",
"state": "TX",
"postal_code": "781303566",
"country_code": "US",
"telephone_number": "830-625-7310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOOJIAN",
"first_name": "JOSEPH",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3122787",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.