Steven A Sodorff, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-094 Issued in ID

Practice address

9399 Ridgetop Blvd NW Ste 101
Silverdale, WA 98383-8580

Phone

(360) 516-1210

Fax

(833) 287-7170

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Integrative Movement, LLC

  • Physical Therapist
  • Olympia, WA
  • NPI 1649389271
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1609958701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641735",
            "telephone_number": "208-263-5731",
            "fax_number": "208-265-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 RIDGETOP BLVD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838580",
            "telephone_number": "360-516-1210",
            "fax_number": "833-287-7170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 Superior St",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641735",
            "country_code": "US",
            "telephone_number": "208-263-5731",
            "fax_number": "208-265-4716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODORFF",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010008010",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001245200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002418800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "T0049",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph G Smith, DNP, FNP-BC
• Karen M. Smith, PA-C
• Kathryn Smith
• Michael Anthony Smith, D.D.S.
• Trudy E Smith, O.T.
• James Wesley Solze III, M.D.
• Monica L Son, SWAAL-SA
• Myles Sorokovsky
• Deema Soufan, LMHC
• Sound Pain Alliance

• Physical Therapist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.