Eric Scott Sorensen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0PT14001 Issued in CA

Practice address

1822 W Kettleman LN
Ste 1
Lodi, CA 95242-4218

Phone

(209) 368-1678

NPI assigned

Oct 25, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366526121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 LAUREL AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422340",
            "telephone_number": "209-369-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W KETTLEMAN LN",
            "address_2": "STE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424218",
            "telephone_number": "209-368-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0PT14001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Ann Smith
• Michelle Marie Smith, R.N. W.H.N.P.
• William F Smith, MD
• Than Soe, M.D.
• Eia Lee Song, PHARMD
• Karen E Sorensen, R.N.
• Nagui Nabil Sorour, MD
• Tammy Andra Souza, MFT
• SP Endodontics Partnershiop
• Billy Joe Spears, KRM

• Physical Therapist in Lodi, CA
• Providers in Lodi, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.