Active NPI
Chad Soykin
- Physical Therapy Assistant
- Webster Groves, MO
National Provider Identifier
1538739362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2012025746
- Practice address
- 21 N Old Orchard Ave
Webster Groves, MO 63119-2699 - Phone
- (314) 266-1024
- NPI assigned
- Jun 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2012025746 | MO | Primary |
Addresses
Primary practice location
21 N Old Orchard Ave
Webster Groves, MO 63119-2699
Mailing address
3806 N Barrington CT
Arnold, MO 63010-4184
Phone (314) 341-0903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012025746 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1538739362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3806 N BARRINGTON CT",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630104184",
"telephone_number": "314-341-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 N OLD ORCHARD AVE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192699",
"telephone_number": "314-266-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOYKIN",
"first_name": "CHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2012025746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
- SJZ Healthcare LLC (Webster Pharmacy)
- SLPH, LLC (Youth Mental Health Care)
- SLPH, LLC (Youth Mental Health Care)
- SLPH, LLC (Youth Mental Health Care)
- SLPH, LLC (Youth Mental Health Care)
- Speak Now Counseling LLC
- Savannah Squires, LCSW
- St Louis Medical Rehab Group LLC
- St. Louis Upper Cervical Chiropractic LLP
- Pamela June Stack, MA, ATR-BC, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.