Crystal Sodergren

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

01406 Issued in OH

Practice address

2511 Bentley Dr
Salem, OH 44460-2503

Phone

(330) 337-3015

NPI assigned

Jul 12, 2010

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1245542877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 EAST ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 BENTLEY DR",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602503",
            "telephone_number": "330-337-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERGREN",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "01406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse J Slocum, DPT
• Smilewright Family Dental
• Smilewright Family Dental, LLC
• Edward Smith
• Robert Earl Smith, D.P.M.
• Willard J Stamp, O.D.
• State of the Heart, LLC
• Julie Ann Stefanec, LD
• Brian B Steff, MA-CCC/SLP
• Natalee Marie Stewart

• Physical Therapy Assistant in Salem, OH
• Providers in Salem, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.