Individual provider Active NPI

Carmen I Soto Ortiz, DPT

  • Physical Therapist
  • Juana Diaz, PR
National Provider Identifier
1952481749
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1017 Issued in PR
Practice address
232 Calle Cipres
Estancias de Juana Diaz
Juana Diaz, PR 00795-2841
Phone
(787) 602-9785
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1017 PR Primary

Addresses

Primary practice location

232 Calle Cipres
Estancias de Juana Diaz
Juana Diaz, PR 00795-2841

Mailing address

PO Box 79
Mercedita, PR 00715-0079
Phone (787) 602-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000603 PR Practitioner - Physical Therapist in Private Practice 9931156106 Reassigns benefits to 1 organization
Practice locations: Juana Diaz, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Experience LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Clinica de Fisiterapia Y Rehabilitacion Logany Past Accepting new patients
Bridges for Health, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1952481749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150079",
            "telephone_number": "787-602-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CALLE CIPRES",
            "address_2": "ESTANCIAS DE JUANA DIAZ",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952841",
            "telephone_number": "787-602-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO ORTIZ",
        "first_name": "CARMEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.