Jeremiah Sicat Soteras, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52280 Issued in CA

Practice address

10225 Austin Dr Ste 204
Spring Valley, CA 91978-1522

Phone

(619) 670-4567

NPI assigned

Feb 24, 2023

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1962101279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 BROOKE DR APT 41507",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266723",
            "telephone_number": "951-234-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR STE 204",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781522",
            "telephone_number": "619-670-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTERAS",
        "first_name": "JEREMIAH",
        "middle_name": "SICAT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Smith
• Allison Smith
• Tonetta Marie Smith
• Cadesha June Sneed
• Perla Soriano
• Tomeka Spence, MS
• Meerna Yacoub Stephan, DR
• Jadzia Stewart
• Danielle Marie Storevik
• Frankie Georgianna Sullivan, LCSW

• Physical Therapy Assistant in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.