Selena Soteriou, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 31518 Issued in FL

Practice address

15702 Bovine PL
Tampa, FL 33624-1501

Phone

(502) 550-3007

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Selena Fulkerson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• BG House Enterprises Inc

  dba Spencer County Physical Therapy

  • Physical Therapist
  • Taylorsville, KY
  • NPI 1669590774
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1376084368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15702 BOVINE PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241501",
            "telephone_number": "502-550-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15702 BOVINE PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241501",
            "telephone_number": "502-550-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTERIOU",
        "first_name": "SELENA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 31518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "FULKERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liudmila Sosa
• Michael Patrick Sosa, D.C.
• Sabrina M Sosa
• Lauren Marinda Sosdorf, ARNP
• Agnieszka Sotel, DNP, APRN, CRNA
• Yamira Soto Cebollero, MD
• Sofia Soto Chavez
• Frank Rolando Soto del Valle, MD
• Wanda Limarys Soto Gascot
• Danilo Enrique Soto Leon, APRN

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.