MEDICARE: SOPHIA KIRSCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT-2567	CA

General Provider Information

NPI Number	:	1326907585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA KIRSCH

Provider Business Mailing Address
First Line	:	3124 BROAD ST
Second Line	:
City	:	PORT HENRY
State	:	NY
Zip	:	12974-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HOT SPRINGS RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2037
Country	:	US
Telephone Number	:	805-969-8011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	02/12/2026

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Directions to “ SOPHIA KIRSCH ” Practice Location

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