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JACK E. SOULIS CPO
NPI 1174025068
Orthotist in Duarte, CA

Active since March 06, 2018
931 BUENA VISTA ST STE 105, DUARTE, CA 91010(626) 256-1415(626) 256-1405 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack E. Soulis Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK E. SOULIS CPO (NPI 1174025068) is an individual orthotist provider in Duarte, California, licensed in (CPO03980) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1174025068
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameJACK E. SOULISCredential: CPO
Location Address931 BUENA VISTA ST STE 105Duarte, CA 91010-1780
Mailing Address931 Buena Vista St Ste 105Duarte, CA 91010-1780 · (626) 256-1415 · Fax (626) 256-1405
Phone(626) 256-1415
Fax(626) 256-1405
Sole ProprietorNo
Enumeration DateMarch 6, 2018
✔ NPI 1174025068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed · CPO03980
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License CPO03980
931 BUENA VISTA ST STE 105, Duarte, CA 91010
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK A. RODRIGUEZ CPO
Orthotist
931 BUENA VISTA ST STE 105
DUARTE, CA 91010
Los Angeles County (626) 256-1415
PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC
Prosthetic/Orthotic Supplier
931 BUENA VISTA ST STE 105
DUARTE, CA 91010
Los Angeles County (626) 256-1415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Soulis's NPI number?

The NPI number for Jack Soulis is 1174025068. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Jack Soulis located?

Jack Soulis practices at 931 Buena Vista St Ste 105, Duarte, CA 91010. The listed phone number is (626) 256-1415.

What is Jack Soulis's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Jack Soulis was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.