Sophia Shrader, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17077 Issued in NC

Practice address

1140 Turnbridge Rd
Charlotte, NC 28226-5862

Phone

(919) 260-8438

NPI assigned

Aug 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sophia Marotti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shine Therapy LLC

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1316401862
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1043042401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VISCOUNT DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281047029",
            "telephone_number": "315-748-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TURNBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265862",
            "telephone_number": "919-260-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "SOPHIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "MAROTTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry Short, MD
• Courtney Shorter
• Rhonda Shouse
• Show Up Stand Up Don'T Give Up
• Katerina Elizabeth Shpak, PA
• Arati Shrestha, DMD
• Rhisti Shrestha, MD
• Ritesh Prasad Shrestha, M.D.
• Ruchi Shrestha, MD
• Runa Shrestha, MD

• Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.