Rafael Soto

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160006224 Issued in IL

Practice address

512 E Ogden Ave
Westmont, IL 60559-1228

Phone

(630) 354-0854

NPI assigned

Apr 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1750137428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KEMMERER LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905038",
            "telephone_number": "708-901-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591228",
            "telephone_number": "630-354-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Snow, LCPC
• Melissa Reitz Solis
• Vanessa Solis, LPC-INTERN
• Mary Somerfield
• Frank Soto
• Priyanka Soudagar
• Southerncare, Inc.
• Courtney Rulynn Southwood, MS, RDN, LDN
• Gregory Souza, CRNA
• Nicolette Spencer, DMD

• Physical Therapy Assistant in Westmont, IL
• Providers in Westmont, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.