Active NPI
Joshua Soper, PTA
- Physical Therapy Assistant
- New Bern, NC
National Provider Identifier
1942975446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7589
- Practice address
- 2111 Neuse Blvd Ste K
New Bern, NC 28560-4318 - Phone
- (252) 637-5001
- Fax
- (252) 637-5007
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 7589 | NC | Primary |
Addresses
Primary practice location
2111 Neuse Blvd Ste K
New Bern, NC 28560-4318
Mailing address
2111 Neuse Blvd Ste K
New Bern, NC 28560-4318
Phone (252) 637-5001
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7589 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craven Physical Therapy & Spine, Inc | Current | Accepting new patients |
Locations
2111 Neuse Blvd
Ste K
New Bern, NC 28560
Phone (252) 637-5001
Organizations & group practices 1
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.
-
- Specialist
- New Bern, NC
- NPI 1730374810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1942975446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 NEUSE BLVD STE K",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604318",
"telephone_number": "252-637-5001",
"fax_number": "252-637-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 NEUSE BLVD STE K",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604318",
"telephone_number": "252-637-5001",
"fax_number": "252-637-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPER",
"first_name": "JOSHUA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "7589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.