Active NPI
Susan M Sobkowich, PT
- Physical Therapist
- Delray Beach, FL
National Provider Identifier
1962510354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7590
- Practice address
- 5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8172 - Phone
- (561) 495-6300
- Fax
- (561) 495-8877
- NPI assigned
- Aug 27, 2006
- Last updated
- Sep 25, 2008
- 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 | PT7590 | FL | Primary |
Addresses
Primary practice location
5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8172
Mailing address
951 Broken Sound Pkwy NW
Suite 225
Boca Raton, FL 33487-3507
Phone (561) 241-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT7590 | Other | FL | FLORIDA LICENSE |
Other names 1
- Susan Marie Soderberg
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 |
|---|---|---|---|
| PT7590 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Bant, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Lantana, FL
- NPI 1467571620
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1962510354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 BROKEN SOUND PKWY NW",
"address_2": "SUITE 225",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873507",
"telephone_number": "561-241-9300",
"fax_number": "561-372-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5365 W ATLANTIC AVE",
"address_2": "SUITE 504",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848172",
"telephone_number": "561-495-6300",
"fax_number": "561-495-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBKOWICH",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PT7590",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SODERBERG",
"middle_name": "MARIE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.