NPIMap

Organization Active NPI

Soar Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sidney, NE
National Provider Identifier
1013314558
Registry record updated Nov 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1850 Issued in NE
Legal business name
SOAR PEDIATRIC THERAPY, LLC
Practice address
1430 Newton St
Sidney, NE 69162-1963
Phone
(308) 225-1870
NPI assigned
Nov 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2014

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

Authorized official

Name
Michelle Weimer, MS PTNPI 1053573410
Title
Member/Owner
Phone
(308) 225-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1850 NE Primary

Addresses

Primary practice location

1430 Newton St
Sidney, NE 69162-1963

Mailing address

1430 Newton St
PO Box 31
Sidney, NE 69162-1963
Phone (308) 225-1870

National Provider Directory

National Provider Directory

Locations

1820 Illinois St
Sidney, NE 69162
Phone (308) 225-1870

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417046400000",
    "number": "1013314558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 NEWTON ST",
            "address_2": "PO BOX 31",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621963",
            "telephone_number": "308-225-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NEWTON ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621963",
            "telephone_number": "308-225-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "308-225-1870",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.