Individual provider Active NPI

Nicole Lopez Sonsino

  • Occupational Therapist
  • Kensington, MD
National Provider Identifier
1407507635
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09885 Issued in MD
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 600 clinicians

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

LicenseStateTypeSpecialty
0119008291VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist Current Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Oct 8, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Oct 8, 2023 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince May 11, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince May 11, 2025 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.

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.

Verify at the official NPI Registry.