SOPHIE CHAMPAGNE BLACK
NPI 1093920522
Occupational Therapist in Kosciusko, MS

Active since May 10, 2007
310 AUTUMN RIDGE DR, KOSCIUSKO, MS 39090(662) 289-3499 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophie Champagne Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIE CHAMPAGNE BLACK (NPI 1093920522) is an individual occupational therapist in Kosciusko, Mississippi, licensed in Mississippi (OT0533) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093920522
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSOPHIE CHAMPAGNE BLACK
Location Address310 AUTUMN RIDGE DRKosciusko, MS 39090-3242
Mailing Address4109 Highway 98 WSummit, MS 39666-9132 · (601) 276-3900
Sole ProprietorYes
Enumeration DateMay 10, 2007
Last NPPES UpdateDecember 29, 2009
NPI 1093920522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MS · OT0533
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
310 AUTUMN RIDGE DR, Kosciusko, MS 39090

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Physical Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Speech-Language Pathologist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Occupational Therapist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Occupational Therapist
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Occupational Therapy Assistant
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090
Skilled Nursing Facility
310 AUTUMN RIDGE DR
KOSCIUSKO, MS 39090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophie Black's NPI number?

The NPI number for Sophie Black is 1093920522. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Sophie Black located?

Sophie Black practices at 310 Autumn Ridge Dr, Kosciusko, MS 39090. The listed phone number is (662) 289-3499.

What is Sophie Black's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

What insurance does Sophie Black accept?

Health plans from Molina Healthcare list Sophie Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophie Black was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.