Sophia Renae Cummings, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008089 Issued in MI

Practice address

23829 Little Mack Ave
Saint Clair Shores, MI 48080-1186

Phone

(586) 412-8757

NPI assigned

Jun 17, 2025

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1649166398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12854 WINDSOR CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134175",
            "telephone_number": "586-612-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801186",
            "telephone_number": "586-412-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "SOPHIA",
        "middle_name": "RENAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard John Cross, MD
• Kelly Crossley, DDS
• Jeffrey Cruz
• Lachelle Marie Cucinella, RN
• Bradley David Cucuro, LMSW
• Curantis LLC
• Cure Steps LLC
• Casey Lynn Currey, ATC
• Jamie Curtis
• William John Cushing, MD

• Physical Therapy Assistant in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.