Active NPI
Amparo Gabriela Soto, OT
- Occupational Therapist
- Suwanee, GA
National Provider Identifier
1225317555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008014
- Practice address
- 4411 Suwanee Dam Rd
Suwanee, GA 30024-8701 - Phone
- (678) 482-2158
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | OT14446 | FL | |
| Occupational Therapist | 225X00000X | OT008014 | GA | Primary |
Addresses
Primary practice location
4411 Suwanee Dam Rd
Suwanee, GA 30024-8701
Mailing address
2877 High Creek Run
Dacula, GA 30019-4860
Phone (954) 854-9822
Other practice location 1
2900 S Commerce Pkwy
Weston, FL 33331-3622
Phone (954) 385-6274
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 |
|---|---|---|---|
| OT14446 | FL | MD | Occupational Therapist |
| OT008014 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Needs Pediatric Therapy Services | Past | Accepting new patients | |
| Buford Kids Spot LLLP | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Suwanee, GA
- NPI 1770754475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1225317555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2877 HIGH CREEK RUN",
"city": "DACULA",
"state": "GA",
"postal_code": "300194860",
"telephone_number": "954-854-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248701",
"telephone_number": "678-482-2158"
}
],
"practiceLocations": [
{
"address_1": "2900 S Commerce Pkwy",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333313622",
"country_code": "US",
"telephone_number": "954-385-6274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "AMPARO",
"middle_name": "GABRIELA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT14446",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.