Organization Active NPI

The Somatic PT, PLLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1457009540
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE SOMATIC PT, PLLC
Practice address
634 W Juanita Ave
Gilbert, AZ 85233-2674
Phone
(781) 975-6217
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Ashley Will, PT, DPT, NCS
Title
Manager
Phone
(781) 975-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

634 W Juanita Ave
Gilbert, AZ 85233-2674

Mailing address

634 W Juanita Ave
Gilbert, AZ 85233-2674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1457009540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 W JUANITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 W JUANITA AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332674",
            "telephone_number": "781-975-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOMATIC PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "WILL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-975-6217",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.