Soma Physical Therapy Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOMA PHYSICAL THERAPY INC

Practice address

1740 La Costa Meadows Dr Ste 250
San Marcos, CA 92078-2122

Phone

(760) 516-8900

Fax

(760) 410-6175

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Adam Robert Pavlovich, DPTNPI 1992260632

Title

Owner/ Physical Therapist

Phone

(607) 341-2479

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Adam Robert Pavlovich, PT

  • Physical Therapist
  • San Marcos, CA
  • NPI 1992260632
  Medicare reassignment NPD Authorized official
• Brandon Mendoza

  • Physical Therapist
  • Escondido, CA
  • NPI 1497211163
  Medicare reassignment NPD
• Holly Mersy

  • Physical Therapy Assistant
  • San Marcos, CA
  • NPI 1164346128
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1801548409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SAN PABLO DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LA COSTA MEADOWS DR STE 250",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782122",
            "telephone_number": "760-516-8900",
            "fax_number": "760-410-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PAVLOVICH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-341-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew I Softley, DDS
• Nuria Solano
• Yessica Solano
• Jose Gabriel Solis
• Jaren Kasey Soloff, RD
• Eva L Sorensen, M.D.
• Abraham Soto
• Alejandro Soto, M.D.
• Source Therapy Licensed Clinical Social Worker Services Apc
• Megan Southerly, LVN

• Clinic/Center in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.