Individual provider Active NPI

Linda Michelle Sragow, MA, O.T.R.

  • Pediatric Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1023197811
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00005900 Issued in NJ
Practice address
1276 Princeton Rd
Teaneck, NJ 07666-2821
Phone
(201) 833-8987
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00005900 NJ
Pediatric Occupational Therapist 225XP0200X 46TR00005900 NJ Primary

Addresses

Primary practice location

1276 Princeton Rd
Teaneck, NJ 07666-2821

Mailing address

1276 Princeton Rd
Teaneck, NJ 07666-2821
Phone (201) 833-8987

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
46TR00005900NJMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1023197811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 PRINCETON RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662821",
            "telephone_number": "201-833-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 PRINCETON RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662821",
            "telephone_number": "201-833-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRAGOW",
        "first_name": "LINDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MA, O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00005900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00005900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.