Active NPI
Julius C Somera, P.T
- Physical Therapist
- Kirtland Afb, NM
National Provider Identifier
1558480772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2613
- Practice address
- 377 TH Medical Group Afmc
2050A Second St.
Kirtland Afb, NM 87117-0001 - Phone
- (505) 846-3146
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2613 | NM | Primary |
Addresses
Primary practice location
377 TH Medical Group Afmc
2050A Second St.
Kirtland Afb, NM 87117-0001
Mailing address
377 TH Medical Group Afmc
2050A Second St.
Kirtland Afb, NM 87117-0001
Phone (505) 846-3146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1558480772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 TH MEDICAL GROUP AFMC",
"address_2": "2050A SECOND ST.",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871170001",
"telephone_number": "505-846-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 TH MEDICAL GROUP AFMC",
"address_2": "2050A SECOND ST.",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871170001",
"telephone_number": "505-846-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERA",
"first_name": "JULIUS",
"middle_name": "C",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirtland Afb, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.