Heather Wiles Sossoman, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26798 Issued in FL

Practice address

3240 Maple LN
Davie, FL 33328-6713

Phone

(954) 683-0611

NPI assigned

Jan 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1548248693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 MAPLE LN",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286713",
            "telephone_number": "954-683-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 MAPLE LN",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286713",
            "telephone_number": "954-683-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSOMAN",
        "first_name": "HEATHER",
        "middle_name": "WILES",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-07",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26798",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT26798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004154700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211644",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "079KV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Dana Sorin, PHARM.D. CPH.
• Ilona Sorokina
• Ornella Sorrentino
• Andres Sosa
• Natalie Victoria Sosa
• Lakieska Soto
• Natalie Michelle Soto
• Anibal Sotomayor-Santana
• Source Medical Services LLC
• South Beach Orthotics & Prosthetics, LLC

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.