Sophia Chaitha Lancaster, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

24520 Issued in CA

Practice address

1000 Calle Amanecer
San Clemente, CA 92673-6214

Phone

(949) 498-5100

NPI assigned

Nov 1, 2019

Last updated

Jan 27, 2023By 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

Other names 1

• Sophia Chaitha Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emerald Coast Autism Center

  • Community/Behavioral Health Agency
  • Niceville, FL
  • NPI 1972030617
  NPD (past)

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1760026835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 HARBOR CLIFF WAY UNIT 176",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542270",
            "telephone_number": "478-919-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CALLE AMANECER",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736214",
            "telephone_number": "949-498-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "SOPHIA",
        "middle_name": "CHAITHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24520",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-68276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "CHAITHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyu Lee DMD,Inc.
• La Laser Center PC, a Professional Medical Corporation (San Clemente Dermatology and Skin Cancer)
• La Laser Center, PC, a Professional Medical Corporation
• Sheridan Lamb, OTR/L
• Jeremy Paul Lamotte, MD
• Ariana Lapierre, IBCLC
• Kelsey Lynn Laser
• Teresa Lau
• Mike Jack Laubach, DC
• Kristin Lawrence, AMFT

• Occupational Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.