Individual provider Active NPI

Stephanie Soto, D.C.

  • Chiropractor
  • Garnet Valley, PA
National Provider Identifier
1235522848
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011136 Issued in PA
Practice address
3039 Foulk Rd
Garnet Valley, PA 19060-1701
Phone
(610) 361-0070
Fax
(610) 361-0071
NPI assigned
Mar 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11461 FL
Chiropractor 111N00000X DC011136 PA Primary

Addresses

Primary practice location

3039 Foulk Rd
Garnet Valley, PA 19060-1701

Mailing address

3039 Foulk Rd
Garnet Valley, PA 19060-1701
Phone (610) 361-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170608000063 PA Practitioner - Chiropractic 1850687807 Reassigns benefits to 1 organization
I20170608000371 DE Practitioner - Chiropractic 1850687807

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garnet Valley Sport and Spine Chiropractic Center PAGroup PAC ID 6002058690, 3 clinicians

Practice addresses (Care Compare)

3039 Foulk Rd
Garnet Valley, PA 19060-1701
Phone (610) 361-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11461FLMDChiropractor
DC011136PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Garnet Valley Sport & Spine Chiropractic Center PA Chiropractor CurrentSince May 1, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1235522848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 FOULK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601701",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 FOULK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601701",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-07",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11461",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.