Stephanie Marie Soares, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20241 Issued in MA

Practice address

27 Renoir Dr
Osterville, MA 02655-1253

Phone

(508) 205-9366

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CCBF, LLC

  • Physical Therapy Clinic/Center
  • Harwich, MA
  • NPI 1689228496

  MA

  Medicare reassignment NPD Authorized official
• Anastasio Family Chiropractic,P.C.

  • Chiropractor
  • Harwich, MA
  • NPI 1720261571
  NPD (past)

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1871869719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RENOIR DR",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RENOIR DR",
            "city": "OSTERVILLE",
            "state": "MA",
            "postal_code": "026551253",
            "telephone_number": "508-205-9366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Charlevoix Dr SE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467085",
            "country_code": "US",
            "telephone_number": "800-634-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOARES",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center, Inc
• Robert a. Faiella, DMD, MMSC, PC
• Pamela Ruth Rodgers
• Margaret Sabens, NP
• Nancy Smith
• Synergy Medical and Aesthetics, PLLC
• Jana K Turner, FNP
• Deborah M Vaughan, LICSW
• Paula Jeanne Vintro, PTA
• Caroline Elizabeth White

• All providers in Osterville, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.