Meredith Soelberg, PT, MPT, MBA

Primary specialty

SpecialistTaxonomy code 174400000X

License

29264 Issued in CA

Practice address

12226 Idaho Ave
Los Angeles, CA 90025-3656

Phone

(310) 388-7116

NPI assigned

Nov 15, 2012

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)

Enrolled

Credentials

Master of Business Administration

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.

• Holistic Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1124559083
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1275877292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12226 IDAHO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12226 IDAHO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253656",
            "telephone_number": "310-388-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOELBERG",
        "first_name": "MEREDITH",
        "credential": "PT, MPT, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "29264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sodenkamp
• Madeleine Gomez Soderberg, MD
• Julianne Kristen Sodergren, NP
• Nwe Nwe Soe, MBBS PHD D(ABHI)
• Christiane Soehnlein
• Winny Soenaryo, OT
• Bettina A. Soestwohner, PH.D., PSY.D.
• Brian Theodore Soetikno, MD, PHD
• Howard L Sofen, M.D.
• Edy E Soffer, M.D.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.