Individual provider Active NPI

Pallavi Annappa Sooda, BPT, PPMPT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1942529888
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1306415 Issued in TX
Practice address
2222 Airline Rd Ste A9
Corpus Christi, TX 78414-2644
Phone
(361) 853-6500
Fax
(361) 853-6501
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 05010240A IN
Physical Therapist 225100000X 5501014739 MI
Physical Therapist 225100000X 1306415 TX Primary

Addresses

Primary practice location

2222 Airline Rd Ste A9
Corpus Christi, TX 78414-2644

Mailing address

2222 Airline Rd Ste A9
Corpus Christi, TX 78414-2644
Phone (361) 853-6500

Other identifiers 1

IdentifierTypeStateIssuer
395083401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181228001818 TX Practitioner - Physical Therapist in Private Practice 0345585964 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010240AINMDPhysical Therapist
5501014739MIMDPhysical Therapist
1306415TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Carver Physical Therapy Physical Therapist CurrentSince Jun 21, 2020 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Jul 20, 2024 Accepting new patients
True Care Physical Therapy PLLC Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Jul 20, 2024 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

2222 Airline Rd
Ste A9
Corpus Christi, TX 78414
Phone (361) 853-6500

6330 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 415-2414

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

1150 Satellite Vw
Round Rock, TX 78665
Phone (512) 354-4067

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1942529888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 AIRLINE RD STE A9",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142644",
            "telephone_number": "361-853-6500",
            "fax_number": "361-853-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 AIRLINE RD STE A9",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142644",
            "telephone_number": "361-853-6500",
            "fax_number": "361-853-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOODA",
        "first_name": "PALLAVI",
        "middle_name": "ANNAPPA",
        "credential": "BPT, PPMPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010240A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014739",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395083401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.