Organization Active NPI

Oscar M Soto

  • Physical Therapist
  • Cazenovia, NY
National Provider Identifier
1962598219
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016117 Issued in NY
Legal business name
OSCAR M SOTO
Practice address
2670 US Route 20 E
Cazenovia, NY 13035-9444
Phone
(315) 655-5453
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Oscar Soto, PT
Title
Owner
Phone
(315) 655-5453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 016117 NY Primary

Addresses

Primary practice location

2670 US Route 20 E
Cazenovia, NY 13035-9444

Mailing address

4567 Crossroads Park Dr
Liverpool, NY 13088
Phone (315) 295-2100

Other names 1

  • Back on Track Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2670 US Route 20E
Cazenovia, NY 13035
Phone (315) 655-8778

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1962598219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 US ROUTE 20 E",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359444",
            "telephone_number": "315-655-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR M SOTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-655-5453",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back on Track Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cazenovia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.