NPIMap

Organization Active NPI

Soar, Inc.

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1376657031
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOAR, INC.
Practice address
2050 W Main St
Suite 4
Rapid City, SD 57702-0905
Phone
(605) 342-9575
Fax
(605) 342-9592
NPI assigned
Aug 19, 2006
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Mr. Matthew Scott Dormann, PTNPI 1609867910
Title
President/Physical Therapist
Phone
(605) 342-9575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2050 W Main St
Suite 4
Rapid City, SD 57702-0905

Mailing address

2050 W Main St
Suite 4
Rapid City, SD 57702-0905
Phone (605) 342-9575

Other identifiers 1

IdentifierTypeStateIssuer
5835130MedicaidSD

National Provider Directory

National Provider Directory

Locations

2050 W Main St
Ste 4
Rapid City, SD 57702
Phone (605) 342-9575

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1376657031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W MAIN ST",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020905",
            "telephone_number": "605-342-9575",
            "fax_number": "605-342-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W MAIN ST",
            "address_2": "SUITE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020905",
            "telephone_number": "605-342-9575",
            "fax_number": "605-342-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "DORMANN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "605-342-9575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5835130",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.