Individual provider Active NPI

Joyce H.H. Soong, RPT

  • Specialist
  • Vista, CA
National Provider Identifier
1407181241
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT10088 Issued in CA
Practice address
169 Terrace Dr
Vista, CA 92084-6113
Phone
(760) 224-7173
Fax
(760) 621-5680
NPI assigned
Oct 13, 2009
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT10088 CA Primary

Addresses

Primary practice location

169 Terrace Dr
Vista, CA 92084-6113

Mailing address

1902 Wright PL
Suite 200
Carlsbad, CA 92008-6583
Phone (760) 224-7173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051215000375 CA Practitioner - Physical Therapist in Private Practice 5991726176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10088CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Motion , Inc CurrentSince Apr 1, 2015 Accepting new patients
Genesiscare, Inc. Past Accepting new patients
Active Life Rehab, Inc. Past Accepting new patients
Leona Geraghty Past Accepting new patients

Organizations & group practices 4

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1407181241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WRIGHT PL",
            "address_2": "SUITE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086583",
            "telephone_number": "760-224-7173",
            "fax_number": "760-621-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846113",
            "telephone_number": "760-224-7173",
            "fax_number": "760-621-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOONG",
        "first_name": "JOYCE",
        "middle_name": "H.H.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT10088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.