Active NPI
Rommel Soriano
- Geriatric Physical Therapist
- Pollocksville, NC
National Provider Identifier
1285094730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- P10319
- Practice address
- 214 Main St
Pollocksville, NC 28573-5002 - Phone
- (910) 604-0633
- NPI assigned
- Feb 26, 2016
- Last updated
- Feb 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | P10319 | NC | Primary |
Addresses
Primary practice location
214 Main St
Pollocksville, NC 28573-5002
Mailing address
184 Club House Dr
Dunn, NC 28334-6806
Phone (910) 604-0633
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10319 | NC | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1285094730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 CLUB HOUSE DR",
"city": "DUNN",
"state": "NC",
"postal_code": "283346806",
"telephone_number": "910-604-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MAIN ST",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285735002",
"telephone_number": "910-604-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO",
"first_name": "ROMMEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NC",
"license": "P10319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pollocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.