Active NPI
Alexis Sobel, MS, OTR/L
- Occupational Therapist
- Wilton, CT
National Provider Identifier
1255677456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12341
- Practice address
- 64 Danbury Rd
Wilton, CT 06897-4429 - Phone
- (818) 625-9054
- NPI assigned
- Dec 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12341 | CA | Primary |
Addresses
Primary practice location
64 Danbury Rd
Wilton, CT 06897-4429
Mailing address
64 Danbury Rd
Wilton, CT 06897-4429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12341 | Other | CA | CBOT |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1255677456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068974429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068974429",
"telephone_number": "818-625-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBEL",
"first_name": "ALEXIS",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBOT",
"identifier": "12341",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.