Susan Lynn Soppe, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P.T. 17270 Issued in CA

Practice address

25327 Avenue Stanford
Ste. 105
Valencia, CA 91355-1242

Phone

(661) 295-2500

Fax

(661) 257-0093

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1760628168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25327 AVENUE STANFORD",
            "address_2": "SUITE #105",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551242",
            "telephone_number": "661-295-2500",
            "fax_number": "661-257-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25327 AVENUE STANFORD",
            "address_2": "STE. 105",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551242",
            "telephone_number": "661-295-2500",
            "fax_number": "661-257-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPPE",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "P.T. 17270",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "P.T. 17270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara E Soumeeh, DMD
• Southern California Orthopedic Institute, LP

• Physical Therapist in Valencia, CA
• Providers in Valencia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.