Individual provider Active NPI

Nick James Sorokos, LPTA

  • Physical Therapy Assistant
  • Virginia Beach, VA
National Provider Identifier
1013395920
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306604089 Issued in VA
Practice address
332 Laskin Rd
Apt 229
Virginia Beach, VA 23451-3060
Phone
(757) 715-8320
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604089 VA Primary

Addresses

Primary practice location

332 Laskin Rd
Apt 229
Virginia Beach, VA 23451-3060

Mailing address

332 Laskin Rd
Apt 229
Virginia Beach, VA 23451-3060
Phone (757) 715-8320

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

LicenseStateTypeSpecialty
2306604089VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1013395920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LASKIN RD",
            "address_2": "APT 229",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513060",
            "telephone_number": "757-715-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LASKIN RD",
            "address_2": "APT 229",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234513060",
            "telephone_number": "757-715-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROKOS",
        "first_name": "NICK",
        "middle_name": "JAMES",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.