Individual provider Active NPI

Sonyta So, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1386983898
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06399 Issued in TX
Practice address
12950 Dallas Pkwy Ste 100
Frisco, TX 75033-4235
Phone
(972) 377-8695
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06399 TX Primary

Addresses

Primary practice location

12950 Dallas Pkwy Ste 100
Frisco, TX 75033-4235

Mailing address

2344 Greencrest Blvd
Rockwall, TX 75087-5513
Phone (469) 689-0936

Other practice location 1

426 Fm 548 Ste 124
Forney, TX 75126-6290
Phone (469) 689-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105001139 TX Practitioner - Physician Assistant 5597075424 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince May 1, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2023 Accepting new patients
Care United Medical Center of Rockwall,PLLC PastSince Feb 10, 2012 Accepting new patients
Lisa Park OD PLLC PastSince Sep 11, 2022 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

12950 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (972) 377-8695

Organizations & group practices 6

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1386983898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 GREENCREST BLVD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875513",
            "telephone_number": "469-689-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 DALLAS PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334235",
            "telephone_number": "972-377-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Fm 548 Ste 124",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266290",
            "country_code": "US",
            "telephone_number": "469-689-0936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SO",
        "first_name": "SONYTA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.