Individual provider Active NPI

Debra May Sojka, P.T.

  • Physical Therapist
  • Petaluma, CA
National Provider Identifier
1306933676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19299 Issued in CA
Practice address
169 Lynch Creek Way
Petaluma, CA 94954-2344
Phone
(707) 763-0115
Fax
(707) 763-2130
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19299 CA Primary

Addresses

Primary practice location

169 Lynch Creek Way
Petaluma, CA 94954-2344

Mailing address

1437 Sarkesian Dr
Petaluma, CA 94954-4406
Phone (707) 763-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081213000047 CA Practitioner - Physical Therapist in Private Practice 8325109002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koda Physical Therapy and Sports PerformanceGroup PAC ID 6103102884, 4 clinicians

Practice addresses (Care Compare)

1372 N McDowell Blvd
Suite D
Petaluma, CA 94954-7102
Phone (707) 981-8604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19299CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Koda Physical Therapy and Sports Performance Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

Locations

1372 N McDowell Blvd
Ste D
Petaluma, CA 94954
Phone (707) 981-8604

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306933676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 SARKESIAN DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544406",
            "telephone_number": "707-763-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LYNCH CREEK WAY",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542344",
            "telephone_number": "707-763-0115",
            "fax_number": "707-763-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJKA",
        "first_name": "DEBRA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • 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.