Active NPI
Victor Jesus Solorio, PTA
- Physical Therapy Assistant
- Saint Paul, MN
National Provider Identifier
1598233439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2372
- Practice address
- 165 McKnight Rd N Apt 101
Saint Paul, MN 55119-4677 - Phone
- (682) 710-2258
- NPI assigned
- Nov 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2140222 | TX | |
| Physical Therapy Assistant | 225200000X | A2372 | MN | Primary |
Addresses
Primary practice location
165 McKnight Rd N Apt 101
Saint Paul, MN 55119-4677
Mailing address
PO Box 25346
Woodbury, MN 55125-0346
Phone (682) 710-2258
Other practice location 1
3666 E County Line N
White Bear Lake, MN 55110-1800
Phone (651) 433-6521
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2372 | MN | MD | Physical Therapy Assistant |
| 2140222 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1598233439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25346",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551250346",
"telephone_number": "682-710-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 MCKNIGHT RD N APT 101",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194677",
"telephone_number": "682-710-2258"
}
],
"practiceLocations": [
{
"address_1": "3666 E County Line N",
"address_purpose": "LOCATION",
"city": "White Bear Lake",
"state": "MN",
"postal_code": "551101800",
"country_code": "US",
"telephone_number": "651-433-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLORIO",
"first_name": "VICTOR",
"middle_name": "JESUS",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2140222",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MN",
"license": "A2372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.