Active NPI
Sonya Overman
- Developmental Therapist
- Goshen, IN
National Provider Identifier
1457987612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 1495685
- Practice address
- 18241 County Road 40
Goshen, IN 46526-5447 - Phone
- (574) 849-2969
- NPI assigned
- Mar 19, 2020
- Last updated
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1495685 | IN | Primary |
Addresses
Primary practice location
18241 County Road 40
Goshen, IN 46526-5447
Mailing address
18241 County Road 40
Goshen, IN 46526-5447
Phone (574) 849-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1495685 | IN | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1457987612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18241 COUNTY ROAD 40",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265447",
"telephone_number": "574-849-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18241 COUNTY ROAD 40",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265447",
"telephone_number": "574-849-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERMAN",
"first_name": "SONYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IN",
"license": "1495685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.