Active NPI
Nicole Lopez Sonsino
- Occupational Therapist
- Kensington, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09885
- Practice address
- 3620 Littledale Rd
Kensington, MD 20895-3424 - Phone
- (301) 923-4904
- NPI assigned
- Jan 10, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119008291 | VA | |
| Occupational Therapist | 225X00000X | 09885 | MD | Primary |
Addresses
Primary practice location
3620 Littledale Rd
Kensington, MD 20895-3424
Mailing address
1837 Westwind Way
MC Lean, VA 22102-1611
Other names 1
- Nicole Lopez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231117000022 | VA | Practitioner - Occupational Therapist in Private Practice | 3779930417 | Reassigns benefits to 2 organizations |
| I20231121001510 | DC | Practitioner - Occupational Therapist in Private Practice | 3779930417 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550
4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (571) 800-8693
5485 Westbard Ave
Bethesda, MD 20816-1408
Phone (240) 283-7094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119008291 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
Locations
5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617
11501 Sunrise Valley Dr
Reston, VA 20191
Phone (571) 318-0618
Organizations & group practices 6
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.
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- NPI 1699094102
DC, Occupational Therapist, VA
-
- Physical Therapist
- Washington, DC
- NPI 1508133661
DC, Occupational Therapist
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1871241414
Occupational Therapist, VA
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1407507635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 WESTWIND WAY",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221021611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 LITTLEDALE RD",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208953424",
"telephone_number": "301-923-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONSINO",
"first_name": "NICOLE",
"middle_name": "LOPEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2025-02-04",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119008291",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "LOPEZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.