Organization Active NPI

Somatic Nature Physical Therapy and Wellness Corp

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
National Provider Identifier
1063046415
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOMATIC NATURE PHYSICAL THERAPY AND WELLNESS CORP
Doing business as
Somatic Nature Physical Therapy and Wellness
Practice address
3150 18TH St Ste 438
San Francisco, CA 94110-2077
Phone
(415) 636-7696
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Priscilla ParkNPI 1023298460
Title
Ceo, DPT
Phone
(415) 636-7696

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3150 18TH St Ste 438
San Francisco, CA 94110-2077

Mailing address

616 20TH St Unit 210
San Francisco, CA 94107-3654
Phone (415) 636-7696

Other names 1

  • Somatic Nature Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3150 18th St
Ste 438
San Francisco, CA 94110
Phone (415) 636-7696

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1063046415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 20TH ST UNIT 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073654",
            "telephone_number": "415-636-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST STE 438",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102077",
            "telephone_number": "415-636-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC NATURE PHYSICAL THERAPY AND WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO, DPT",
        "authorized_official_telephone_number": "415-636-7696"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somatic Nature Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.