Jennifer Anne Souders, D.PT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26192 Issued in CA

Practice address

3210 Grey Hawk CT
Carlsbad, CA 92010-6651

Phone

(760) 727-9100

Fax

(760) 727-9122

NPI assigned

Dec 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atala Physical Therapy, Inc.

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1588729529
  NPD (past)
• Atala Rehab Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
  • NPI 1881952331
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497815781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 TRAILVIEW RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243126",
            "telephone_number": "760-727-9100",
            "fax_number": "760-727-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GREY HAWK CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106651",
            "telephone_number": "760-727-9100",
            "fax_number": "760-727-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDERS",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.PT.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sotelo
• Karif Sotelo
• Cassandra Soto
• Makayla Soto
• Sottek Trippe Enterprise, LLC
• Soul Shining Psychology Professional Corporation
• Soul Tide Outpatient Psychotherapy, PC
• Soul Tide Psychotherapy PC
• Southcoast Psychological Associates, Inc.
• Southern California Institute of Clinical Nutrition

• Physical Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.