Soco Physical Therapy & Performance, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOCO PHYSICAL THERAPY & PERFORMANCE, P.C.

Practice address

222 Center St
Healdsburg, CA 95448-4402

Phone

(707) 706-0853

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Jaclynn Rose PetersNPI 1407259484

Title

Owner, Physical Therapist

Phone

(707) 706-0853

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.

• Jaclynn Rose Peters, DPT

  • Orthopedic Physical Therapist
  • Healdsburg, CA
  • NPI 1407259484
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1821853607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 DRY CREEK RD",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954489795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484402",
            "telephone_number": "707-706-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCO PHYSICAL THERAPY & PERFORMANCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JACLYNN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "707-706-0853"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Widick, D.D.S. Inc.
• Lawrence W. Shephard, P,T,
• Ronald D. Siegemund, M.D.
• Natasha Bettina Sill, CPNP
• Amber Snyder
• Stanley Jacobs, M.D. Inc
• Stanley Jacobs, M.D. Inc
• Todd Steele
• Stephen Pinsk, M.D., Inc.
• Laura Stever, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.