Active NPI
Edwin Beltran Soriano, PT
- Physical Therapist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0012083
- Practice address
- 4112 Outlook Blvd Ste 96
Pueblo, CO 81008-1667 - Phone
- (719) 562-6200
- Fax
- (719) 562-6225
- NPI assigned
- May 7, 2008
- Last updated
- Jan 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | PTL.0012083 | CO | Primary |
Addresses
Primary practice location
4112 Outlook Blvd Ste 96
Pueblo, CO 81008-1667
Mailing address
621 W 19TH St
Pueblo, CO 81003-4048
Phone (719) 696-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4112 Outlook Blvd
Pueblo, CO 81008-1667
Phone (719) 562-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centura Ventures, LLC | Physical Therapist | Current | Accepting new patients |
| Centura Ventures, LLC | Current | Accepting new patients | |
| Centura Ventures, LLC | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
11960 Lioness Way
Ste 150
Parker, CO 80134
Phone (303) 269-2893
4112 Outlook Blvd
Pueblo, CO 81008
Phone (719) 553-1000
4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200
Organizations & group practices 3
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.
-
dba CS Briargate at Sister
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1073882197
Physical Therapist
-
dba CS Langstaff Brown PT
- Physical Therapy Clinic/Center
- Woodland Park, CO
- NPI 1891327920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1457527681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W 19TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810034048",
"telephone_number": "719-696-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD STE 96",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667",
"telephone_number": "719-562-6200",
"fax_number": "719-562-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO",
"first_name": "EDWIN",
"middle_name": "BELTRAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0012083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.