Active NPI
Laura Sowdon
- Occupational Therapist
- Cordova, TN
National Provider Identifier
1154629772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119003176
- Practice address
- 1181 Vickery LN
Suite 102
Cordova, TN 38016-0632 - Phone
- (901) 729-7773
- NPI assigned
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3576 | TN | |
| Occupational Therapist | 225X00000X | 0119003176 | VA | Primary |
Addresses
Primary practice location
1181 Vickery LN
Suite 102
Cordova, TN 38016-0632
Mailing address
2765 Jefferson Davis Highway
Suite 203
Stafford, VA 22554
Phone (540) 720-2261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003176 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Therapy Services, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1154629772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2765 JEFFERSON DAVIS HIGHWAY",
"address_2": "SUITE 203",
"city": "STAFFORD",
"state": "VA",
"postal_code": "22554",
"telephone_number": "540-720-2261",
"fax_number": "540-720-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 VICKERY LN",
"address_2": "SUITE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160632",
"telephone_number": "901-729-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWDON",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3576",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119003176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.