Ma Jo Anne Sobrevega

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1243013 Issued in TX

Practice address

3452 Lake Lynda Dr Ste 200
Orlando, FL 32817-1481

Phone

(800) 774-7785

NPI assigned

Aug 16, 2017

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

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.

• Performance Therapeutics - Roma PLLC

  • Rehabilitation Clinic/Center
  • Roma, TX
  • NPI 1992225783
  NPD (past)
• Performance Therapeutics Harlingen PLLC

  • Rehabilitation Clinic/Center
  • Harlingen, TX
  • NPI 1306366190
  NPD (past)
• Performance Therapeutics Mission PLLC

  • Rehabilitation Clinic/Center
  • Mission, TX
  • NPI 1043744337
  NPD (past)

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1942726468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ROCK HILL DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 LAKE LYNDA DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171481",
            "telephone_number": "800-774-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBREVEGA",
        "first_name": "MA JO ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1243013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soaring Behavior
• Lauren Howard Sobel
• Steven M Sobel, O.D.
• Vina Jaranilla Soberano, PT, CLT
• Liset Soberao
• Socc PL (South Orange Wellness & Injury Center)
• Stephanie Nichole Soccorso
• Social Worker Magic, LLC
• Mark A Socinski, MD
• Sarah Sockol, LMHC

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.