Active NPI
Monica Soper, PT
- Physical Therapist
- Frisco, TX
National Provider Identifier
1902289135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1259987
- Practice address
- 6363 Dallas Pkwy Ste 207
Frisco, TX 75034-9683 - Phone
- (972) 250-5777
- Fax
- (855) 271-2435
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1259987 | TX | Primary |
Addresses
Primary practice location
6363 Dallas Pkwy Ste 207
Frisco, TX 75034-9683
Mailing address
6363 Dallas Pkwy Ste 207
Frisco, TX 75034-9683
Phone (972) 250-5777
Other practice location 1
4108 Boat Club Road
Fort Worth, TX 76135
Phone (817) 238-9295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192079501 | Medicaid | TX |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
| Sportherapy LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1902289135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 DALLAS PKWY STE 207",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349683",
"telephone_number": "972-250-5777",
"fax_number": "855-271-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 DALLAS PKWY STE 207",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349683",
"telephone_number": "972-250-5777",
"fax_number": "855-271-2435"
}
],
"practiceLocations": [
{
"address_1": "4108 BOAT CLUB ROAD",
"address_purpose": "LOCATION",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76135",
"country_code": "US",
"telephone_number": "817-238-9295",
"fax_number": "817-238-9296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOPER",
"first_name": "MONICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1259987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192079501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.