Active NPI
Navya Soma
- Physical Therapist
- Effingham, IL
National Provider Identifier
1952754780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021451
- Practice address
- 1205 Jenner Ave Apt 41
Effingham, IL 62401-1630 - Phone
- (313) 520-9131
- NPI assigned
- Jul 17, 2016
- Last updated
- Jul 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021451 | IL | Primary |
Addresses
Primary practice location
1205 Jenner Ave Apt 41
Effingham, IL 62401-1630
Mailing address
1205 Jenner Ave Apt 41
Effingham, IL 62401-1630
Phone (313) 520-9131
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070021451 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468713600000",
"number": "1952754780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 JENNER AVE APT 41",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011630",
"telephone_number": "313-520-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 JENNER AVE APT 41",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011630",
"telephone_number": "313-520-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMA",
"first_name": "NAVYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-17",
"last_updated": "2016-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
- Angela Marie Slagley, OTR/L, CHT
- Andrew Slavens
- Nicole Slavens
- Chandra Faye Smith, OTR/L
- Carol J Snyder, PTA
- Erica Sotelo
- Southern Illinois Hand Center, SC
- Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
- Southern Illinois Healthcare Foundation, Inc. (SIHF Healthcare)
- Southern Illinois Healthcare Foundation, Inc. (Effingham Health Center II)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.