Mitchell Sopko, OT
Individual provider Active NPI Occupational Therapist · Bullhead City, AZ
NPI 1396243184 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1396243184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 2812 Silver Creek Rd
Bullhead City, AZ 86442-8309 - Phone
- (928) 763-1404
- NPI assigned
- Jan 25, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
2812 Silver Creek Rd
Bullhead City, AZ 86442-8309
Mailing address
2812 Silver Creek Rd
Bullhead City, AZ 86442-8309
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- Parminder Kaur Sond
- Sonora Quest Laboratories, LLC
- Southwest Behavioral Health Services Inc.
- Southwest Behavioral Health Services, Inc.
- Southwest Behavioral Health Services,Inc.
- Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD
- Southwest Orthopedic Services LLC
All providers in Bullhead City, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.