Sophia Marie Staniszewski, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

457000 Issued in ME

Practice address

20 East Ave
Lewiston, ME 04240-6652

Phone

(207) 241-0157

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1497418420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 HALLOWELL LITCHFIELD RD",
            "city": "WEST GARDINER",
            "state": "ME",
            "postal_code": "043457108",
            "telephone_number": "207-724-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406652",
            "telephone_number": "207-241-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISZEWSKI",
        "first_name": "SOPHIA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "457000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Rose Stalling, LCPC
• Ashley Stanhiser, NP-C
• Daniel E Stanhiser, MD
• Kristin Stanhope, PA-C
• Sean D Stanhope, D.O.
• Angela Sian Stanley, MHRT/C
• Cynthia Stapleton, M.S., CCC-A
• Star Quality Support Services LLC
• Alisha Starbird, DMD
• Bonney Starbird, N.P.

• Occupational Therapy Assistant in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.