Lauren Renee Sobotik, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48421 Issued in CA

Practice address

7801 N Lamar Blvd Ste A114
Austin, TX 78752-1049

Phone

(512) 646-4673

Fax

(512) 729-0320

NPI assigned

Dec 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1003281676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N LAMAR BLVD STE A114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521049",
            "telephone_number": "512-646-4673",
            "fax_number": "512-729-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11840 S La Cienega Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902503459",
            "country_code": "US",
            "telephone_number": "424-629-3400",
            "fax_number": "310-882-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBOTIK",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2106715",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedicta Izegboya Sobanjo
• Charlotte Sobeck, L.AC
• Maricela Soberanes, CRNA
• Megan Sobieralski, RDN
• Yulia Sobolevsky
• Ana Sobrino
• Soco Psychotherapy, Inc
• Soe Aung, M.D., P.a.
• Nerisa Iolani Soeharto, PA-C
• Toshiki Soejima, DMD

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.