Individual provider Active NPI

Roger Soulcheck, RPT

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1306962501
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29223 Issued in CA
Practice address
101 S 1St St
Suite 1800
Burbank, CA 91502-1938
Phone
(818) 558-7252
NPI assigned
Mar 21, 2007
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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 PT29223 CA Primary

Addresses

Primary practice location

101 S 1St St
Suite 1800
Burbank, CA 91502-1938

Mailing address

101 S 1St St
Suite 1800
Burbank, CA 91502-1938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000151 CA Practitioner - Physical Therapist in Private Practice 8628129871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afrouz Gerayli MD IncGroup PAC ID 8527225309, 3 clinicians

Practice addresses (Care Compare)

500 Paseo Camarillo
Suite 100
Camarillo, CA 93010-5900
Phone (805) 484-1033

Merit-based Incentive Payment System (MIPS)

Final score
21.5 of 100Reported as group
Quality
15
Promoting interoperability
0
Improvement activities
0
Cost
56.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heng Medical, Inc PastSince Oct 1, 2014 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: roger.soulcheck.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1306962501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST",
            "address_2": "SUITE 1800",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST",
            "address_2": "SUITE 1800",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021938",
            "telephone_number": "818-558-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULCHECK",
        "first_name": "ROGER",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.