Active NPI
Somer Nicole Higdon, DPT, MOT
- Orthopedic Physical Therapist
- Solana Beach, CA
National Provider Identifier
1194800250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9257
- 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, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9257 | Other | CO | PT LICENSE |
| 1074264 | Other | CO | OT 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9257 | CO | MD | Geriatric Physical Therapist |
| 1074264 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
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- Greeley, CO
- NPI 1306921739
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1720094329
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.