Margo Kristin Sorum

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

175873 Issued in AK

Practice address

3141 Kenwood Cir
Anchorage, AK 99504-3727

Phone

(907) 947-2030

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Amy M Cynowa DC PC

  dba Soma Wellness

  • Health Service Clinic/Center
  • Anchorage, AK
  • NPI 1548546716
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1144892670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 KENWOOD CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043727",
            "telephone_number": "907-947-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 KENWOOD CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043727",
            "telephone_number": "907-947-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Denali St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995034046",
            "country_code": "US",
            "telephone_number": "907-563-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORUM",
        "first_name": "MARGO",
        "middle_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "175873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "175873",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Anchorage",
            "affiliation": "N",
            "address_1": "3141 Kenwood Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995043727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebekah Sorenson
• Jaycee Cabiao Soriano, LMT
• Christopher Sorich, PT
• Mary Kay Sorich, PT
• Katelynn Sortino
• Bicentennial Sosene
• Jasmine Sosene
• Jennifer Sossamon, ATC, RN
• Jessica Erin Sotelo, MD
• Sheila Soto

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.