Sovia Therapy, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

OC002751L Issued in PA

Legal business name

SOVIA THERAPY, LLC

Practice address

1015 Tiverton Rd
Mechanicsburg, PA 17050-7699

Phone

(717) 379-4543

Fax

(717) 732-3740

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Kelly L Rice, OTR/L

Title

Ownder

Phone

(717) 379-4543

Specialties & licenses 1

Addresses

Other identifiers 8

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1609297498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 TIVERTON RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507699",
            "telephone_number": "717-379-4543",
            "fax_number": "717-732-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 TIVERTON RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507699",
            "telephone_number": "717-379-4543",
            "fax_number": "717-732-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVIA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "717-379-4543",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "OC002751L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026813350002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028563980001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019283190003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022391420002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025619720001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025209420001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028468290001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027475710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haide Maher Sorial
• Victoria Lynn Sostack, LSW
• Angela M Sotohamlin, MD
• Nader Soumel
• Rochelle Sousa, DPT
• Cynthia Sowal
• Sabrina Paige Sowers, MSW, BSW
• Anthony George Spack, MENTAL HEALTH WORKER
• Meagan Spackman
• Eileen Cooper Spaeder, MSW

• Early Intervention Provider Agency in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.