Individual provider Active NPI

Sejal S Soni, MPT

  • Physical Therapist
  • Killeen, TX
National Provider Identifier
1629164264
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1153611 Issued in TX
Practice address
3816 S Clear Creek
Suite B
Killeen, TX 76549
Phone
(254) 699-3933
Fax
(254) 526-8604
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1153611 TX Primary

Addresses

Primary practice location

3816 S Clear Creek
Suite B
Killeen, TX 76549

Mailing address

209 Gracie Court
Harker Heights, TX 76548
Phone (832) 326-9118

Other identifiers 1

IdentifierTypeStateIssuer
8T4528OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000451 TX Practitioner - Physical Therapist in Private Practice 4284668526 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1153611TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Jeanice Amy Mitchell Physical Therapist PastSince Jul 1, 2009 Accepting new patients

Locations

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750

Organizations & group practices 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629164264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 GRACIE COURT",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "832-326-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK",
            "address_2": "SUITE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "SEJAL",
        "middle_name": "S",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1153611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4528",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.