Organization Active NPI

Soma Vita Therapeutic Wellness LLC

  • Rehabilitation Practitioner
  • Ocoee, FL
National Provider Identifier
1306757281
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SOMA VITA THERAPEUTIC WELLNESS LLC
Practice address
1934 Tumblewater Blvd
Ocoee, FL 34761-3349
Phone
(407) 766-0616
NPI assigned
Sep 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Devika Jibodh, OTA
Title
Owner / Managing Member
Phone
(407) 766-0616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

1934 Tumblewater Blvd
Ocoee, FL 34761-3349

Mailing address

1934 Tumblewater Blvd
Ocoee, FL 34761-3349
Phone (407) 766-0616

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1306757281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 TUMBLEWATER BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613349",
            "telephone_number": "407-766-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 TUMBLEWATER BLVD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613349",
            "telephone_number": "407-766-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA VITA THERAPEUTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "JIBODH",
        "authorized_official_first_name": "DEVIKA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "407-766-0616",
        "authorized_official_credential": "OTA"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.