Justin P Sovich

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2809 Issued in MN

Practice address

61 Thompson Ave W
West St Paul, MN 55118-3114

Phone

(612) 259-2924

NPI assigned

Sep 29, 2025

Sex

Male

Sole proprietor

No

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": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1174496897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 THOMPSON AVE W",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 THOMPSON AVE W",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183114",
            "telephone_number": "612-259-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVICH",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah June Silver, MSN, PMHNP-BC
• Brian Keith Singletary, D.M.D.
• Andrea Lynn Somers, MSN, PMHNP-BC, PNP-C
• South River Dental PLLC
• Southview Operations LLC
• John C Spencer, OD
• St. Paul Opticians, Inc.
• Jennifer Steiner
• Andrea Stelter, MS, ATC, ATR
• Stephen J. Antonello, Incorporated

• All providers in West St Paul, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.