ULICES VAZQUEZ SOTO – Physical Therapist, NPI 1124886288

ULICES VAZQUEZ SOTO is a healthcare provider. based in Encinitas, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 305745 (CA). The NPI Number for ULICES VAZQUEZ SOTO is 1124886288

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ULICES VAZQUEZ SOTO
NPI
1124886288
Phone
Not provided
Address
227 N EL CAMINO REAL STE 100
Enumeration Date
12 March 2024
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604522640
Graduation Year
2023 (3 years ago)
PAC ID
2466890140
Group Practice PAC ID
6204139744
Professional Enrollment ID
I20240401000415
Address ID
CA920245821EN227XXREAL502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ULICES VAZQUEZ SOTO

  • 227 N EL CAMINO REAL STE 100

    ENCINITAS, CA 920245821

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240401000415IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204139744View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What identifier follows ULICES VAZQUEZ SOTO across health systems?
The NPI 1124886288 uniquely identifies ULICES VAZQUEZ SOTO in U.S. healthcare data.
Quick check: is ULICES VAZQUEZ SOTO active?
Public NPPES data shows ULICES VAZQUEZ SOTO with an active NPI status right now.
What services align with ULICES VAZQUEZ SOTO's listing?
ULICES VAZQUEZ SOTO's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ULICES VAZQUEZ SOTO?
ULICES VAZQUEZ SOTO is associated with Encinitas, California in the same public data insurers reference.
Why is information missing for ULICES VAZQUEZ SOTO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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