Amanda Holly Sodini, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017730 Issued in MI

Practice address

4085 Burton St SE Ste 100
Grand Rapids, MI 49546-2444

Phone

(616) 233-3599

Fax

(616) 285-6030

NPI assigned

Jul 28, 2016

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1780639658
  Medicare reassignment Care Compare group NPD
• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Waterford, MI
  • NPI 1679645295

  Physical Therapist

  Medicare reassignment NPD
• Advent Rehabilitation, LLC

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1437923729
  NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Rockford, MI
  • NPI 1710638473

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)
• Michigan Behavioral Consultants PC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1336153220
  NPD (past)
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Grand Rapids, MI
  • NPI 1588775373
  NPD (past)
• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Battle Creek, MI
  • NPI 1023124823
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1831642537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 BURTON ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462444",
            "telephone_number": "616-233-3599",
            "fax_number": "616-285-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9321 Cherry Valley Ave SE",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493167403",
            "country_code": "US",
            "telephone_number": "616-536-9339",
            "fax_number": "616-214-3794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2591 44th St SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495129094",
            "country_code": "US",
            "telephone_number": "616-281-9237",
            "fax_number": "616-281-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODINI",
        "first_name": "AMANDA",
        "middle_name": "HOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Mathew Sobeck, PT
• Genene Evelyn Soboleski, RBT
• Andrew Leo Sochacki, M.D.
• Katelyn Elise Sochanek, MA, BCBA, LBA
• Alexsis Soderberg
• Carl Eugene Soechtig, D.O.
• Sara Soehnel
• Isabella Frances Soesbe
• Allison Soffa, CNA
• Sola Counseling LLC

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.