Allison Soubik

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018137 Issued in PA

Practice address

1378 Red Dale Rd
Orwigsburg, PA 17961-9464

Phone

(570) 573-3293

NPI assigned

Jan 10, 2022

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

Practice roles

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

• Gym-Jam Therapeutics, Inc.

  • Community/Behavioral Health Agency
  • Pottsville, PA
  • NPI 1801337910

  Occupational Therapist

  NPD (past)
• Happy Hearts LLC

  • Early Intervention Provider Agency
  • Orwigsburg, PA
  • NPI 1083901235
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1750042941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012212",
            "telephone_number": "570-640-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 RED DALE RD",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619464",
            "telephone_number": "570-573-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUBIK",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Maria Smith, COTA/L
• Tara Trubilla Smith, RPH
• Crystal M Smulley
• Angela Mary Sodano, MS, CCC-SLP
• Matthew C Sophy, DO
• Joseph Robert Souchak, RPH
• Theodore Spontak
• St Luke's Physician Group Inc (St. Luke's Primary Care Orwigsburg)
• St Luke's Physician Group, Inc
• Heather Stack, M.A. CCC-SLP

• Occupational Therapist in Orwigsburg, PA
• Providers in Orwigsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.