Sophia Bubrick, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15959 Issued in CA

Practice address

415 N Crescent Dr
Suite 103
Beverly Hills, CA 90210-4860

Phone

(310) 273-0877

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sophia Sophia Other name

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.

• Sophies Fertility and Wellness, Inc.

  • Occupational Therapist
  • Lake Balboa, CA
  • NPI 1225655038

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1285174417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 HAMLIN ST STE 103",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914065418",
            "telephone_number": "310-975-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104860",
            "telephone_number": "310-273-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBRICK",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "SOPHIA",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary G. Bruton, PSY.D.
• Karen Bryan, LMFT
• Meigan Bryant, MD
• Melissa Brymer, PH.D., PSY.D.
• BTB Surgical Enterprises Inc.
• Courtlan Budman
• Joey C Bueno-Olguin, NP-C
• Suzanne Bukinik, MFT
• Buma Medical Inc a Professional Corporation
• Danielle Bund, NP

• Occupational Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.