Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISMANSJAH SOEKARDI, PT
Active Sole ProprietorISMANSJAH SOEKARDI, PT is a Physical Therapy Assistant healthcare provider located in APTOS, California. NPI 1215054721 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · APTOS, CA
Registration Details
- NPI Number
- 1215054721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.375185785571 yrs)
- Last Updated
- Oct 4, 2018
- License
-
PT25843 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6193 SOQUEL DRIVEAPTOS, CA, 95003Browse CA providers · Browse ZIP 95003
- Phone
- 8314621212
- Fax
- 8314621221
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in APTOS, CA
| Name | Credential | NPI |
|---|---|---|
| LISA CHRISTENSEN | P.T. | 1336255462 |
| MOHAN MICHEAL SIEGEL | RPT | 1003979394 |
| MR. JAMES GERALD TUCKER | PT PHYSICAL THERAPIS | 1932262060 |
| LISA BEAUDREAU | PT | 1275670598 |
| MR. KEVIN EUGENE HOWARD | — | 1114111655 |
| SUSAN LYNN DEREN PANDOLFI | PT | 1457625881 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.