Soda Brand LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SODA BRAND LLC

Practice address

888 N Quincy St Unit 709
Arlington, VA 22203-2073

Phone

(201) 214-7383

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Myroslav ZvershkhovskyyNPI 1255091245

Title

Ceo/Owner

Phone

(201) 214-7383

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myroslav Zvershkhovskyy, COTA

  • Occupational Therapy Assistant
  • Arlington, VA
  • NPI 1255091245
  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1831967975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 N QUINCY ST UNIT 709",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032073",
            "telephone_number": "201-214-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 N QUINCY ST UNIT 709",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032073",
            "telephone_number": "201-214-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODA BRAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "ZVERSHKHOVSKYY",
        "authorized_official_first_name": "MYROSLAV",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "201-214-7383"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.