Sophia Guese

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

21256 Issued in CA

Practice address

20145 Hartland St
Winnetka, CA 91306-3524

Phone

(760) 475-3539

NPI assigned

Aug 12, 2020

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)

Enrolled

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1760093884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20145 HARTLAND ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063524",
            "telephone_number": "760-475-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20145 HARTLAND ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063524",
            "telephone_number": "760-475-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-06-14",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "21256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Manor (quartz garden, pleasant valley manor)
• Gretchen Manor Inc. (Gretchen Haven)
• Anna Grigoryev
• Melissa Valeria Guardado
• Joshua Guese, DPT
• Kristina Guinto
• Melissa Hannon, MA, LMFT
• Healing Days Home Health Inc
• Healing Hands Spa and Wellness Inc
• Healing Pines Senior Liviing LLC

• Pediatric Occupational Therapist in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.