Active NPI
Samantha Sorce, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1366923682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11848 Bernardo Plaza CT Ste 100
San Diego, CA 92128-2417 - Phone
- (951) 595-1757
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
11848 Bernardo Plaza CT Ste 100
San Diego, CA 92128-2417
Mailing address
842 Agate St Apt 2
San Diego, CA 92109-1178
Phone (858) 217-2496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT293482 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1366923682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 AGATE ST APT 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921091178",
"telephone_number": "858-217-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 BERNARDO PLAZA CT STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282417",
"telephone_number": "951-595-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORCE",
"first_name": "SAMANTHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT293482",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.