Individual provider Active NPI

Wade Soenksen, PT, DPT, OCS, ATC

  • Physical Therapist
  • Elgin, SC
National Provider Identifier
1669678389
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11893 Issued in SC
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

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240405002818 SC Practitioner - Physical Therapist in Private Practice 3971875865 Reassigns benefits to 1 organization

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
Ascent Total Performance, LLCGroup PAC ID 2961890744, 8 clinicians

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

LicenseStateTypeSpecialty
070024248ILMDPhysical Therapist
11893SCMDPhysical Therapist
096004915ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex PT Specialists, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Ascent Total Performance, LLC Physical Therapist CurrentSince Jan 21, 2024 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.

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.

Verify at the official NPI Registry.