Active NPI
Dmitri Raetki-Solntev
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1710351119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14752
- Practice address
- 1310 Brookstown Ave Apt 6
Winston Salem, NC 27101-1147 - Phone
- (336) 999-3779
- NPI assigned
- Nov 23, 2015
- Last updated
- Nov 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14752 | NC | Primary |
Addresses
Primary practice location
1310 Brookstown Ave Apt 6
Winston Salem, NC 27101-1147
Mailing address
1310 Brookstown Ave Apt 6
Winston Salem, NC 27101-1147
Phone (336) 999-3779
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 |
|---|---|---|---|
| P14752 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1710351119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 BROOKSTOWN AVE APT 6",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271011147",
"telephone_number": "336-999-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 BROOKSTOWN AVE APT 6",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271011147",
"telephone_number": "336-999-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAETKI-SOLNTEV",
"first_name": "DMITRI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Judson Daniell Rackley, MD
- Travis Maurice Radcliff
- Jennifer Rader
- Radiant and Rooted Therapy PLLC
- Smiljka Radoja Ponjavic, MD
- Rafael Rivera, Jr., DDS, PLLC (Smile Starters)
- Rafael Rivera, Jr., DDS, PLLC (SmileStarters)
- William Rafferty, O.D.
- Mikayla Jordan Rafte
- Michael Christopher Ragan, M.ED., MSN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.