Individual provider Active NPI

Jesse Patrick Solotoff, DPT

  • Physical Therapist
  • Miramar, FL
National Provider Identifier
1316214455
Registry record updated Jun 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26982 Issued in FL
Practice address
2349 SW 126TH Ave
Miramar, FL 33027-2641
Phone
(305) 903-5470
NPI assigned
Nov 17, 2011
Last updated
Jun 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2015

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 PT26982 FL Primary

Addresses

Primary practice location

2349 SW 126TH Ave
Miramar, FL 33027-2641

Mailing address

2349 SW 126TH Ave
Miramar, FL 33027-2641
Phone (305) 903-5470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000302 FL Practitioner - Physical Therapist in Private Practice 3375869688 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12165 Sheridan St
Hollywood, FL 33026-1444
Phone (754) 204-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26982FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Companies of Florida Corp Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients
Wellness Companies of Florida Corp Physical Therapist CurrentSince Jul 9, 2018 Accepting new patients
Therapy Bros PLLC Physical Therapist CurrentSince Oct 28, 2023 Accepting new patients
Results Rehab PA CurrentSince Jun 8, 2015 Accepting new patients
Mind, Body and Spirit Chiropractic, Inc. PastSince Jul 1, 2015 Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 101B
Hallandale Beach, FL 33009
Phone (305) 345-2080

12165 Sheridan St
Hollywood, FL 33026
Phone (305) 970-1430

12239 Sheridan St
Hollywood, FL 33026

Organizations & group practices 6

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1316214455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 SW 126TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272641",
            "telephone_number": "305-903-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 SW 126TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272641",
            "telephone_number": "305-903-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOTOFF",
        "first_name": "JESSE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.