Active NPI
Sarah Kohberger
- Pediatric Occupational Therapist
- Ithaca, NY
National Provider Identifier
1013835172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 030822
- Practice address
- 400 Lake St
Ithaca, NY 14850-2132 - Phone
- (607) 274-2264
- NPI assigned
- Jul 7, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 030822 | NY | Primary |
Addresses
Primary practice location
400 Lake St
Ithaca, NY 14850-2132
Mailing address
931 Dryden Rd Apt 2
Ithaca, NY 14850-2914
Phone (315) 651-1252
Other practice location 1
202 King St
Ithaca, NY 14850-3735
Phone (607) 274-2214
Other practice location 2
425 Winthrop Dr
Ithaca, NY 14850-1738
Phone (607) 257-2121
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ithaca City School District | 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.
-
- Local Education Agency (LEA)
- Ithaca, NY
- NPI 1225185317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1013835172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 DRYDEN RD APT 2",
"city": "ITHACA",
"state": "NY",
"postal_code": "148502914",
"telephone_number": "315-651-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LAKE ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148502132",
"telephone_number": "607-274-2264"
}
],
"practiceLocations": [
{
"address_1": "202 King St",
"address_purpose": "LOCATION",
"city": "Ithaca",
"state": "NY",
"postal_code": "148503735",
"country_code": "US",
"telephone_number": "607-274-2214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 Winthrop Dr",
"address_purpose": "LOCATION",
"city": "Ithaca",
"state": "NY",
"postal_code": "148501738",
"country_code": "US",
"telephone_number": "607-257-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHBERGER",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-07",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "030822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.