Individual provider Active NPI

Sheryl Baradsar Socong, PT

  • Physical Therapist
  • Coleman, TX
National Provider Identifier
1699081638
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1195490 Issued in TX
Practice address
310 S Pecos St
Coleman, TX 76834-4159
Phone
(325) 625-2135
Fax
(325) 625-4329
NPI assigned
Aug 27, 2010
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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 1195490 TX Primary

Addresses

Primary practice location

310 S Pecos St
Coleman, TX 76834-4159

Mailing address

310 S Pecos St
Coleman, TX 76834-4159
Phone (325) 625-2135

Other names 1

  • Sheryl A Baradsar Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Inc Physical Therapist PastSince Jul 1, 2022 Accepting new patients
Laredo Back in Action LLC Physical Therapist Past Accepting new patients
Del Rio Therapy, P.C. Physical Therapist Past Accepting new patients
Merkley Partners LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1699081638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-2135",
            "fax_number": "325-625-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-2135",
            "fax_number": "325-625-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCONG",
        "first_name": "SHERYL",
        "middle_name": "BARADSAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "BARADSAR",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coleman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.