Sophia Gabriella Banez, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2025028396 Issued in MO

Practice address

2555 Hackmann Rd
Saint Charles, MO 63303-5452

Phone

(636) 851-6200

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1477457026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 OXFORD DR APT 1E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HACKMANN RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035452",
            "telephone_number": "636-851-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "SOPHIA",
        "middle_name": "GABRIELLA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2025028396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ayotunde Mark Bamimore, M.D
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• Elly Bangert
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• Gregg Bantrup, M.D.
• Lisa Margaret Baragiola, RDN, LD

• Occupational Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.