Pakawadee Sopapong, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021482 Issued in OH

Practice address

286 N Main St
Monroe, OH 45050-1236

Phone

(513) 539-3488

NPI assigned

May 30, 2023

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beacon Orthopaedics & Sports Medicine LTD

  dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD
• Professional Therapeutic Services Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Huber Heights, OH
  • NPI 1174529358
  NPD (past)
• Professional Therapeutic Services, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Piqua, OH
  • NPI 1023686979

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1912690512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031290",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N MAIN ST",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501236",
            "telephone_number": "513-539-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 5th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031290",
            "country_code": "US",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPAPONG",
        "first_name": "PAKAWADEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004651",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "021482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayi Giselle Sanvee, RN
• Sara Care Ohio LLC
• Antwane Yul Scott
• Teresa Lyn Slone, LPN
• Jordan Mackenzie Smith, PA
• Southwest Ohio Surgery Center
• Richard Jason Sowers, R.N.
• Cynthia A. Spicer, LPC
• Maurice G Swanson, MD
• Thapa Homecare LLC

• Physical Therapist in Monroe, OH
• Providers in Monroe, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.