Sophya Manu Thomas, PT
Individual provider Active NPI Physical Therapist · Duncanville, TX
NPI 1639749120 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1639749120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1225958 (TX)
- Practice address
- 415 W Wheatland Rd # 102
Duncanville, TX 75116-4619 - Phone
- (972) 296-1808
- Fax
- (972) 296-3777
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Therapy, PC
Practice addresses (Care Compare)
415 W Wheatland Rd
Suite 102
Duncanville, TX 75116-4619
Phone (979) 296-1808
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913001264 | TX | Practitioner - Physical Therapist in Private Practice | 4385040674 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Advance Therapy PC | Physical Therapist | Past |
Accepting new patients |
Locations
3700 Cross Park Dr
Bryan, TX 77802
Phone (979) 774-9958
415 W Wheatland Rd
#102
Duncanville, TX 75116
Phone (972) 296-1808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1225958 | TX | Yes |
Addresses
Primary practice location
415 W Wheatland Rd # 102
Duncanville, TX 75116-4619
Mailing address
3700 Cross Park Dr
Bryan, TX 77802-4137
Phone (979) 774-9958
Other practice location 1
3700 Cross Park Dr
Bryan, TX 77802-4137
Phone (979) 774-9958
Other providers in Duncanville, TX
- Smitha Thengumkalayil Abraham
- Thomas Lane Dykes, Jr., M.D., P.a.
- Doyal Thomas
- Kesha Deshea Thomas
- Ralisha L Thomas
- Shardonnay Thompson
- Three Star Home Health Agency Inc
- Three Star Home Health Agency Inc.
- Anil Kumar Tibrewal
- James Dennis Tilger
All providers in Duncanville, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.