Individual provider Active NPI

Victor Jesus Solorio, PTA

  • Physical Therapy Assistant
  • Saint Paul, MN
National Provider Identifier
1598233439
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2372 Issued in MN
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

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A2372MNMDPhysical Therapy Assistant
2140222TXMDPhysical 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.

Verify at the official NPI Registry.