Elizabeth Souza, DPT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15725 Issued in CA

Practice address

1370 Valley Vista Dr Ste 145
Diamond Bar, CA 91765-3950

Phone

(909) 861-3511

Fax

(909) 860-7900

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pomona Valley Orthopedic and Sports Physical Therapy IncGroup PAC ID 4284536814, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pomona Valley Orthopedic and Sports Physical Therapy, Inc

  • Physical Therapist
  • Diamond Bar, CA
  • NPI 1255301461
  Medicare reassignment Care Compare group NPD
• Prostar Sports Training and Rehabilitation

  • Physical Therapist
  • Diamond Bar, CA
  • NPI 1184898215
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295830925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 145",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-861-3511",
            "fax_number": "909-860-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 145",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-861-3511",
            "fax_number": "909-860-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "ELIZABETH",
        "credential": "DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Sollestre
• Muna F Soltan, D.D.S.
• Su Yeon Son, L.AC
• Coleen Songcuya, OTR
• Southern California Digestive Center LLC
• Gary M Souza, DPT, OCS
• Spire Management Group, Inc.
• St Jude Hospital Yorba Linda
• St Mary'S Hospice Inc
• St. Luke'S Hospice, Inc.

• Physical Therapist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.