Anya Rose Soled, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT19521 Issued in CA

Practice address

5554 Thomas Rd
Sebastopol, CA 95472-9377

Phone

(415) 297-8892

NPI assigned

Mar 26, 2015

Sex

Female

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

Practice roles

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.

• Growth Spurt Pediatric Therapy, Inc.

  • Occupational Therapist
  • Sebastopol, CA
  • NPI 1629984331
  NPD (past) Authorized official
• All About Therapy, PLLC

  • Occupational Therapist
  • Apex, NC
  • NPI 1437459450
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1275927246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 THOMAS RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729377",
            "telephone_number": "415-250-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 THOMAS RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729377",
            "telephone_number": "415-297-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLED",
        "first_name": "ANYA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT19521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Smith
• Timothy J Smith, M.D.
• Max Cleatis Snell
• Lara Kirsten Sodergren, LM
• Solace Group LLC
• Donald Alan Solomon, M.D.
• Ellen K Solot, M.A
• Sonoma Specialty Hospital, LLC
• Chelsey Souza
• Krista Spangler, LMFT

• Pediatric Occupational Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.