Todd Joseph Soares, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9537 Issued in CA

Practice address

1400 N Dutton Ave
Suite 1
Santa Rosa, CA 95401-4657

Phone

(707) 523-2848

Fax

(707) 523-2866

NPI assigned

Oct 23, 2006

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stac Physical Therapy Sonoma IncGroup PAC ID 6002261088, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dylan Francis Bartley, MSPT

  • Physical Therapist
  • San Francisco, CA
  • NPI 1114026986
  Medicare reassignment
• Jeannette Elaine Grace, P.T.

  • Orthopedic Physical Therapist
  • Santa Rosa, CA
  • NPI 1114903192
  Medicare reassignment
• Joshua Todor Marian, DPT

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1740587161
  Medicare reassignment
• Marianne Rene Potts, M.P.T.

  • Orthopedic Physical Therapist
  • Santa Rosa, CA
  • NPI 1912138686
  Medicare reassignment

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.

• Stac Physical Therapy Sonoma, Inc.

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1720707136
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780767541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 LOUISA CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043418",
            "telephone_number": "707-527-7339",
            "fax_number": "707-523-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "address_2": "SUITE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-523-2848",
            "fax_number": "707-523-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "TODD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Sneddon, NP
• Bradly Dee Snell, CADC II
• Lindsey Snetsinger
• Halie Snider
• Garrett Micah Snyder, M.D.
• Ransom G Soderberg
• Victoria Elizabeth Sojka
• Shiroko Liles Sokitch, MD
• Joyce Sokolik, R.D., CDE
• Hillary Solakian

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.