Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lopez Sonsino

Individual provider Occupational Therapist · NPI 1407507635

Nicole Lopez Sonsino is an Occupational Therapist in Private Practice in Kensington, Maryland. Qualified in 2019, 7 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
7
Licensed in
MD, VA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3620 Littledale Rd
Kensington, MD 20895-3424
Phone: (301) 923-4904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 09885 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 0119008291 (VA)

Record details

NPI number1407507635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 10, 2022
Last updated in NPPESFebruary 4, 2025
Certification dateJanuary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kensington