Active NPI
Jessica Sang, OT
- Occupational Therapist
- Owasso, OK
National Provider Identifier
1003825050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 944
- Practice address
- 12899 E 76TH St N
109
Owasso, OK 74055-4021 - Phone
- (918) 609-6003
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 944 | OK | Primary |
Addresses
Primary practice location
12899 E 76TH St N
109
Owasso, OK 74055-4021
Mailing address
12899 E 76TH St N
109
Owasso, OK 74055-4021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100645670A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 944 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Pediatric Therapy, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Owasso, OK
- NPI 1427257013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1003825050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "109",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12899 E 76TH ST N",
"address_2": "109",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554021",
"telephone_number": "918-609-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANG",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100645670A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.