Soar Pediatric Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOAR PEDIATRIC PHYSICAL THERAPY

Practice address

30 Mitchell Blvd
San Rafael, CA 94903-2034

Phone

(415) 624-9314

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Carrie E Purvis, DPTNPI 1427232883

Title

Owner

Phone

(415) 624-9314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carrie Elizabeth Purvis, PT

  • Pediatric Physical Therapist
  • San Rafael, CA
  • NPI 1427232883
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1801614128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TRELLIS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033326",
            "telephone_number": "415-624-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MITCHELL BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032034",
            "telephone_number": "415-624-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-624-9314",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Holloway Smith, D.D.S.
• William Matthew Smith
• Dania Smithstein
• Anne B. Snyder, PHYSICAL THERAPIST
• Sonia Soans
• Talia Soffer
• Aparajita Sohoni, MD
• Wesley Sokolosky, M.D.
• Cristina Sola Martin
• Dorcas Ammeris Solivan Jimenez

• Physical Therapy Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.