Individual provider Active NPI

Nosifat Omolara Sokoya

  • Occupational Therapist
  • Evergreen Park, IL
National Provider Identifier
1619563111
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013832 Issued in IL
Practice address
9834 S Hamlin Ave
Evergreen Park, IL 60805-3363
Phone
(708) 921-2300
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.013832 IL Primary

Addresses

Primary practice location

9834 S Hamlin Ave
Evergreen Park, IL 60805-3363

Mailing address

5026 N Springfield Ave Apt 2E
Chicago, IL 60625-6125
Phone (773) 679-8392

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

LicenseStateTypeSpecialty
056.013832ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bambinos Therapy, Inc. Occupational Therapist PastSince Dec 22, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1619563111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 N SPRINGFIELD AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256125",
            "telephone_number": "773-679-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 S HAMLIN AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053363",
            "telephone_number": "708-921-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOYA",
        "first_name": "NOSIFAT",
        "middle_name": "OMOLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.