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

Individual provider Occupational Therapist · NPI 1962276220

Sophia Casanova, OTR/L is an Occupational Therapist in Private Practice in Oak Park, Michigan. Qualified in 2023, 3 years ago. Practices with Walk the Line to Sci Recovery Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297
Phone: (248) 788-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201013677 (MI)

Record details

NPI number1962276220
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Walk The Line To Sci Recovery Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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