IndividualActive
Jack Soulis, CPO
NPI 1174025068 · Orthotist · Duarte, CA
Provider details
- NPI number
- 1174025068
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- CPO03980
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
931 Buena Vista St Ste 105
Duarte, CA 91010-1780
Phone: (626) 256-1415
Fax: (626) 256-1405
Street-level locationGet directions
Mailing address
931 Buena Vista St Ste 105
Duarte, CA 91010-1780
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.