Individual provider Active NPI

Somer Nicole Higdon, DPT, MOT

  • Orthopedic Physical Therapist
  • Solana Beach, CA
National Provider Identifier
1194800250
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9257 Issued in CO
Practice address
695 S Nardo Ave
G4
Solana Beach, CA 92075-2327
Phone
(970) 481-7377
NPI assigned
Oct 26, 2006
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9257 CO
Geriatric Physical Therapist 2251G0304X 9257 CO
Sports Physical Therapist 2251S0007X 9257 CO
Orthopedic Physical Therapist 2251X0800X 9257 CO Primary
Occupational Therapist 225X00000X 1074264 CO

Addresses

Primary practice location

695 S Nardo Ave
G4
Solana Beach, CA 92075-2327

Mailing address

695 S Nardo Ave
Solana Beach, CA 92075-2327
Phone (970) 481-7377

Other identifiers 2

IdentifierTypeStateIssuer
9257OtherCOPT LICENSE
1074264OtherCOOT CERTIFICATION

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9257COMDGeriatric Physical Therapist
1074264COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy PC Past Accepting new patients
Momentum Physical Therapy PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1194800250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S NARDO AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752327",
            "telephone_number": "970-481-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S NARDO AVE",
            "address_2": "G4",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752327",
            "telephone_number": "970-481-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "SOMER",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "DPT, MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9257",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "9257",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "9257",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "9257",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "1074264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "9257",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT CERTIFICATION",
            "identifier": "1074264",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.