Agripino Latanafrancia Soldevilla, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004362 Issued in KY

Practice address

1561 Newton Ave
Bowling Green, KY 42104-3238

Phone

(270) 842-1611

NPI assigned

Jul 2, 2007

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

Other identifiers 1

Other names 1

• Mr. Patrick Latanafrancia Soldevilla Other name

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821295957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 CROSSINGS CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045465",
            "telephone_number": "270-320-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 NEWTON AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043238",
            "telephone_number": "270-842-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDEVILLA",
        "first_name": "AGRIPINO",
        "middle_name": "LATANAFRANCIA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185224",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "SOLDEVILLA",
            "middle_name": "LATANAFRANCIA",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Allen Snyder
• Hamza Sohail, MD
• Mary Catherine Soister, APRN
• Sokey Counseling LLC
• Soky Performance Physical Therapy PLLC
• Rhina Solorzano
• David Sona
• Nishantkumar Kalubhai Sonani, MBBS
• Zoe Sondergeld
• Sabrina Sorenson

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.