Individual provider Active NPI

Sophia Ruth Maines, PT, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1396033569
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1244873 Issued in TX
Practice address
2324 E Cesar Chavez St
Austin, TX 78702-4604
Phone
(512) 522-6447
NPI assigned
Jul 21, 2011
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19622 MA
Physical Therapist 225100000X 1244873 TX Primary

Addresses

Primary practice location

2324 E Cesar Chavez St
Austin, TX 78702-4604

Mailing address

520 Kodiak TRL
Cedar Park, TX 78613-4108
Phone (512) 429-2975

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205000427 TX Practitioner - Physical Therapist in Private Practice 9335301795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10601 Pecan Park Blvd
Suite 302
Austin, TX 78750-1448
Phone (512) 522-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19622MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Physical Therapy, PLLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

10601 Pecan Park Blvd
Ste 302
Austin, TX 78750
Phone (512) 423-2316

10601 Pecan Park Blvd
Ste A3
Austin, TX 78750
Phone (512) 522-6447

2324 E Cesar Chavez St
Austin, TX 78702
Phone (512) 522-6447

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1396033569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 KODIAK TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134108",
            "telephone_number": "512-429-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 E CESAR CHAVEZ ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024604",
            "telephone_number": "512-522-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINES",
        "first_name": "SOPHIA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19622",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1244873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.