Roman Allan Samson Sotelo, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028622 Issued in NY

Practice address

1070 Havemeyer Ave
Bronx, NY 10462-5310

Phone

(718) 863-6200

Fax

(914) 530-2161

NPI assigned

Mar 22, 2010

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Trifecta Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
  • NPI 1396254249
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1295059061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 23RD ST",
            "address_2": "APARTMENT 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023327",
            "telephone_number": "909-992-2152",
            "fax_number": "134-762-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625310",
            "telephone_number": "718-863-6200",
            "fax_number": "914-530-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "ROMAN ALLAN",
        "middle_name": "SAMSON",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haris Sose, RPH
• Sara Hope Soshnick, D.O.
• Julianna Patience Sostre, PH.D.
• Danilo Humberto Sotelo-Garza, M.D.
• Layla Hope Sotelo
• Arisheniah Sothilingam
• Panagiotis Sotiropoulos, PA-C
• Andres Gerardo Soto Burgos
• Alexander Manuel Soto, LCSW
• Amanda Marie Soto, OTR/L

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.