Individual provider Active NPI

Lauren Sofen Soleimani, PT, DPT

  • Pediatric Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1891019840
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5501016476 Issued in MI
Practice address
31045 Hunters Whip LN
Farmington Hills, MI 48331-1538
Phone
(248) 444-0361
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-017704 IL
Physical Therapist 225100000X 5501016476 MI
Pediatric Physical Therapist 2251P0200X 5501016476 MI Primary

Addresses

Primary practice location

31045 Hunters Whip LN
Farmington Hills, MI 48331-1538

Mailing address

31045 Hunters Whip LN
Farmington Hills, MI 48331-1538
Phone (248) 444-0361

Other practice location 1

407 N La Grange Rd
LA Grange Park, IL 60526-5623
Phone (708) 482-9320

Other practice location 2

30100 Telegraph Rd Ste 140
Bingham Farms, MI 48025-4516
Phone (248) 385-0030

Other names 1

  • Dr. Lauren Beth Sofen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-017704ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1891019840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31045 HUNTERS WHIP LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311538",
            "telephone_number": "248-444-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31045 HUNTERS WHIP LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311538",
            "telephone_number": "248-444-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 N La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "LA Grange Park",
            "state": "IL",
            "postal_code": "605265623",
            "country_code": "US",
            "telephone_number": "708-482-9320",
            "fax_number": "708-482-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30100 Telegraph Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254516",
            "country_code": "US",
            "telephone_number": "248-385-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLEIMANI",
        "first_name": "LAUREN",
        "middle_name": "SOFEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016476",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501016476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SOFEN",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.