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

Sophia Bavisotto, MS, ATC

Individual provider Athletic Trainer · NPI 1962348102

Sophia Bavisotto, MS, ATC is an Athletic Trainer in Fairfax, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3813 Ruben Simpson Ct
Fairfax, VA 22033-2435
Phone: (703) 973-9686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1962348102
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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