Soma Potential Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

60663 Issued in OR

Legal business name

SOMA POTENTIAL INC

Practice address

3601 Mahlon Ave
Eugene, OR 97401-8046

Phone

(773) 351-5092

NPI assigned

May 20, 2017

Organization subpart

No

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

Authorized official

Name

Jodi James, DPTNPI 1629482559

Title

Physical Therapist

Phone

(773) 351-5092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi James, PT

  • Physical Therapist
  • Eugene, OR
  • NPI 1629482559
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495238400000",
    "number": "1003343062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MAHLON AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MAHLON AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018046",
            "telephone_number": "773-351-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA POTENTIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-351-5092",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan William Solberg, B.A.
• Eleanor Flora Soleil
• Ariel Solomon, L.AC.
• Sandra Solomon, MSW
• Mackenzie Solton
• William Sommer
• Yu Kyung Son
• Sonas Biotechnologies, Inc.
• Sonas Biotechnologies, Inc.
• Anne Therese Sondag, LMT

• Physical Therapy Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.