Individual provider Active NPI

Janet Marie Sova, C.O.T.A.

  • Occupational Therapist
  • Milwaukee, WI
National Provider Identifier
1053526087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
512-027 Issued in WI
Practice address
2727 W Mitchell St
Milwaukee, WI 53215-2259
Phone
(414) 383-4039
Fax
(414) 383-3866
NPI assigned
May 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 512-027 WI Primary

Addresses

Primary practice location

2727 W Mitchell St
Milwaukee, WI 53215-2259

Mailing address

7375 S Lenox Ave
Oak Creek, WI 53154-2227
Phone (414) 571-1602

Other identifiers 1

IdentifierTypeStateIssuer
18009479627MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
512-027WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053526087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 S LENOX AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542227",
            "telephone_number": "414-571-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152259",
            "telephone_number": "414-383-4039",
            "fax_number": "414-383-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVA",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "512-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18009479627",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.