Renae Joan Soule', PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204238 Issued in VA

Practice address

8986 Lorton Station Blvd
Suite 202
Lorton, VA 22079-4753

Phone

(703) 546-0013

Fax

(703) 546-0014

NPI assigned

May 25, 2010

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renae Monie Former name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Clinics Limited Partnership

  • Physical Therapist
  • Centreville, VA
  • NPI 1639594831

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1326367731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "540-687-8181",
            "fax_number": "540-687-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD",
            "address_2": "SUITE 202",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794753",
            "telephone_number": "703-546-0013",
            "fax_number": "703-546-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULE'",
        "first_name": "RENAE",
        "middle_name": "JOAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "MONIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baley Jolene Smith
• Snehal Patel, DDS, MD (Lorton Dental Impant, Oral & Facial Surgery)
• Garrett Snoeyenbos, MD
• Sima Soroosh, PHARM, D.
• Michelle Strother Sosa, LCSW
• Soulful Care LLC
• Nia Joan Speight
• Travis Jack Stark, D.P.M.
• Stars4Ucollection Inc
• Amanda Lynn Stathos, MS, RD, LD

• Physical Therapist in Lorton, VA
• Providers in Lorton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.