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

Sophia Edelyn Lopez, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1063370674

Sophia Edelyn Lopez, OTR/L is a Pediatric Occupational Therapist in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026
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

355 Broad St
Newark, NJ 07104-5960
Phone: (415) 917-7634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 46TR01269600 (NJ)

Record details

NPI number1063370674
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

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