Xavier Diaz Soto, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2077452 Issued in TX

Practice address

2001 Scenic Dr
Georgetown, TX 78626-7725

Phone

(512) 863-9511

NPI assigned

Aug 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1891275673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GRAND JUNCTION TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267088",
            "telephone_number": "432-556-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267725",
            "telephone_number": "512-863-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "XAVIER",
        "middle_name": "DIAZ",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2077452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boback B Sobhani, M.D.
• Janice Soileau, CPNP-PC
• Michael Soileau, MD
• Laura Joan Soos, M.ED., M.S.
• Leroy T Soto, M.D.
• Soulager, Inc.
• South Limestone Hospital District
• Philip Southern, APRN, PMHNP-BC
• Southwest Psychiatric Services
• Southwestern University

• Physical Therapy Assistant in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.