Individual provider Active NPI

Sonja Ann Kabella, COTA

  • Occupational Therapy Assistant
  • Pensacola, FL
National Provider Identifier
1194378414
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA16802 Issued in FL
Practice address
10095 Hillview Dr
Pensacola, FL 32514-5428
Phone
(850) 479-4000
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215239 TX
Occupational Therapy Assistant 224Z00000X OTA002454 GA
Occupational Therapy Assistant 224Z00000X OTA16802 FL Primary

Addresses

Primary practice location

10095 Hillview Dr
Pensacola, FL 32514-5428

Mailing address

3196 Venue Dr
Gainesville, GA 30506-4548
Phone (817) 771-7512

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
OTA16802FLMDOccupational Therapy Assistant
OTA002454GAMDOccupational Therapy Assistant
215239TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1194378414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 VENUE DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064548",
            "telephone_number": "817-771-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 HILLVIEW DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145428",
            "telephone_number": "850-479-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABELLA",
        "first_name": "SONJA",
        "middle_name": "ANN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215239",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002454",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.