Active NPI
Fabiola Soria
- Occupational Therapist
- Lexington, SC
National Provider Identifier
1497387583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120547
- Practice address
- 113 E Main St Ste a
Lexington, SC 29072-3449 - Phone
- (803) 704-4759
- NPI assigned
- Feb 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6518 | SC | |
| Occupational Therapist | 225X00000X | 120547 | TX | Primary |
Addresses
Primary practice location
113 E Main St Ste a
Lexington, SC 29072-3449
Mailing address
16842 State Highway 215 S # 112
Winnsboro, SC 29180-7355
Phone (210) 385-7923
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 |
|---|---|---|---|
| 6518 | SC | MD | Mental Health Counselor |
| 120547 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1497387583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16842 STATE HIGHWAY 215 S # 112",
"city": "WINNSBORO",
"state": "SC",
"postal_code": "291807355",
"telephone_number": "210-385-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E MAIN ST STE A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723449",
"telephone_number": "803-704-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIA",
"first_name": "FABIOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6518",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.