Kelly Denise Sornson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056005400 Issued in IL

Practice address

3351 Hobson Rd
Woodridge, IL 60517-1665

Phone

(630) 541-3652

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1679818116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 PATTERSON AVE",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605428966",
            "telephone_number": "630-907-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 HOBSON RD",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171665",
            "telephone_number": "630-541-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORNSON",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005400",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056005400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Snyder, MA
• Elizabeth A Solans, DMD
• Soleo Health Inc
• Soleo Health Inc.
• Soleo Health Inc.
• Speech and Me
• Samantha Sperlak, LCPC
• Sr Psychiatric LTD
• Rouzan H. Srour, PHARMD
• St. Joseph Assyla Home Health Care, Inc.

• Occupational Therapist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.