Active NPI
Wade Soenksen, PT, DPT, OCS, ATC
- Physical Therapist
- Elgin, SC
National Provider Identifier
1669678389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11893
- Practice address
- 550 Spears Creek Church Rd Ste C
Elgin, SC 29045-8132 - Phone
- (803) 233-3183
- Fax
- (803) 233-3183
- NPI assigned
- Jun 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070024248 | IL | |
| Athletic Trainer | 2255A2300X | 096004915 | IL | |
| Physical Therapist | 225100000X | 11893 | SC | Primary |
Addresses
Primary practice location
550 Spears Creek Church Rd Ste C
Elgin, SC 29045-8132
Mailing address
2829 Millwood Ave
Columbia, SC 29205-1261
Phone (803) 851-3506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Spears Creek Church Rd
Suite C
Elgin, SC 29045-8132
Phone (803) 233-3183
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070024248 | IL | MD | Physical Therapist |
| 11893 | SC | MD | Physical Therapist |
| 096004915 | IL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vertex PT Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Ascent Total Performance, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2829 Millwood Ave
Columbia, SC 29205
Phone (803) 216-5724
550 Spears Creek Church Rd
Ste C
Elgin, SC 29045
Phone (803) 233-3183
Organizations & group practices 2
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1275106270
-
- Physical Therapist
- Cayce, SC
- NPI 1265899652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1669678389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 MILLWOOD AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051261",
"telephone_number": "803-851-3506",
"fax_number": "803-619-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SPEARS CREEK CHURCH RD STE C",
"city": "ELGIN",
"state": "SC",
"postal_code": "290458132",
"telephone_number": "803-233-3183",
"fax_number": "803-233-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOENKSEN",
"first_name": "WADE",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024248",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096004915",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.