NPIMap

Organization Active NPI

Todd Soares

Doing business as North Santa Rosa Physical Therapy

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1558451872
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9537 Issued in CA
Legal business name
TODD SOARES
Doing business as
North Santa Rosa Physical Therapy
Practice address
1400 N Dutton Ave
Suite 1
Santa Rosa, CA 95401-4657
Phone
(707) 523-2848
Fax
(707) 523-2866
NPI assigned
Oct 16, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Todd J. Soares, PTNPI 1780767541
Title
Owner
Phone
(707) 523-2848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9537 CA Primary

Addresses

Primary practice location

1400 N Dutton Ave
Suite 1
Santa Rosa, CA 95401-4657

Mailing address

1400 N Dutton Ave
Suite 1
Santa Rosa, CA 95401-4657
Phone (707) 523-2848

Other names 1

  • North Santa Rosa Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1558451872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "address_2": "SUITE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-523-2848",
            "fax_number": "707-523-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "address_2": "SUITE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-523-2848",
            "fax_number": "707-523-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SOARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-523-2848",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Santa Rosa Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.