Organization Active NPI

Somatic Resilience LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
National Provider Identifier
1043059124
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOMATIC RESILIENCE LLC
Practice address
3526 E Lee St
Tucson, AZ 85716-3211
Phone
(216) 308-0438
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Kristen Johnson, DPT, SEPNPI 1649815812
Title
PT
Phone
(216) 308-0438

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 Primary

Addresses

Primary practice location

3526 E Lee St
Tucson, AZ 85716-3211

Mailing address

3526 E Lee St
Tucson, AZ 85716-3211
Phone (216) 308-0438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1043059124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 E LEE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163211",
            "telephone_number": "216-308-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 E LEE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163211",
            "telephone_number": "216-308-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "216-308-0438",
        "authorized_official_credential": "DPT, SEP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.