Active NPI
Zosima N Soliven, RPT
- Physical Therapist
- Artesia, CA
National Provider Identifier
1720122344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19655
- Practice address
- 17616 Grayland Ave
Artesia, CA 90701-4025 - Phone
- (562) 860-2068
- Fax
- (562) 809-4698
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- 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 | PT19655 | CA | Primary |
Addresses
Primary practice location
17616 Grayland Ave
Artesia, CA 90701-4025
Mailing address
17616 Grayland Ave
Artesia, CA 90701-4025
Phone (562) 860-2068
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 |
|---|---|---|---|
| PT19655 | CA | MD | Physical Therapist |
| 19655 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Dynamic Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Artesia, CA
- NPI 1043354665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1720122344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17616 GRAYLAND AVE",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014025",
"telephone_number": "562-860-2068",
"fax_number": "562-809-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17616 GRAYLAND AVE",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907014025",
"telephone_number": "562-860-2068",
"fax_number": "562-809-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIVEN",
"first_name": "ZOSIMA",
"middle_name": "N",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.