Caressa Marie Sorensen, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005380 Issued in IL

Practice address

394 Federal Dr
Crystal Lake, IL 60014-6281

Phone

(815) 459-3810

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1154090447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 FEDERAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146281",
            "telephone_number": "815-459-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 FEDERAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146281",
            "telephone_number": "815-459-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "CARESSA",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Christine Solarte
• Lenia Solorio, FNP
• Edward Song
• Ruchi Sood, MD
• Dawn Elizabeth Sopron, L.C.S.W.
• Christine M. Sorensen, PT
• Chastity Sosa, OTR/L
• Angelica Soto, MSN,APRN,PMHNP-C
• Jawhara Soudagar, PHARMD
• Jillian Souza

• Occupational Therapy Assistant in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.