Active NPI
Sophia Marie York
- Speech-Language Pathologist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22009031A
- Practice address
- 4625 Amity Dr Apt 304
Fort Wayne, IN 46845-9816 - Phone
- (260) 431-7625
- NPI assigned
- Mar 25, 2025
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22009031A | IN | Primary |
| Speech-Language Pathologist | 235Z00000X | 39391 | CA |
Addresses
Primary practice location
4625 Amity Dr Apt 304
Fort Wayne, IN 46845-9816
Mailing address
4625 Amity Dr Apt 304
Fort Wayne, IN 46845-9816
Other practice location 1
5700 Village Oaks Dr Apt 1431
San Jose, CA 95123-3780
Phone (260) 431-7625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22009031A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Auburn Senior Living LLC | Current | Accepting new patients | |
| Cortlyn Therapy, PC | Speech-Language Pathologist | Current | Accepting new patients |
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
1675 W 7th St
Auburn, IN 46706
Phone (260) 247-6632
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
10 S 9th St
Ste 4
Noblesville, IN 46060
Organizations & group practices 4
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.
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
Speech-Language Pathologist
-
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
IN, Speech-Language Pathologist
-
- Assisted Living Facility
- Auburn, IN
- NPI 1437757747
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1346042918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 AMITY DR APT 304",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 AMITY DR APT 304",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468459816",
"telephone_number": "260-431-7625"
}
],
"practiceLocations": [
{
"address_1": "5700 Village Oaks Dr Apt 1431",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951233780",
"country_code": "US",
"telephone_number": "260-431-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YORK",
"first_name": "SOPHIA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22009031A",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "39391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.