Sophia Evatt

Individual provider Active NPI Occupational Therapist · Pineville, NC

NPI 1295446649 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1295446649
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17828 (NC)
Practice address
11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471
Phone
(704) 541-9080
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17828NCMDOccupational Therapist
7668SCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7668 SC
Occupational Therapist 225X00000X 17828 NC Yes

Addresses

Primary practice location

11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471

Mailing address

11940 Carolina Place Pkwy Ste 200
Pineville, NC 28134-7471

Other providers in Pineville, NC

All providers in Pineville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.