Individual provider Active NPI

Stephanie Somes, PT

  • Sports Physical Therapist
  • Louisville, CO
National Provider Identifier
1396916797
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
5038 Issued in CO
Practice address
400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731
Phone
(303) 926-2665
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 5038 CO Primary

Addresses

Primary practice location

400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731

Mailing address

400 S McCaslin Blvd
Suite 210
Louisville, CO 80027-9731
Phone (303) 926-2665

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5038COMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health Past Accepting new patients

Organizations & group practices 1

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1396916797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279731",
            "telephone_number": "303-926-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD",
            "address_2": "SUITE 210",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279731",
            "telephone_number": "303-926-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMES",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "5038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.