Individual provider Active NPI

Sarah Beth Rader, OTR/L

  • Occupational Therapist
  • Sallisaw, OK
National Provider Identifier
1063051399
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1706 Issued in OK
Practice address
100968 S 4650 Rd
Sallisaw, OK 74955-2672
Phone
(479) 650-1575
NPI assigned
Jan 3, 2020
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR1616 AR
Occupational Therapist 225X00000X 1706 OK Primary
Neurorehabilitation Occupational Therapist 225XN1300X OTR1616 AR
Physical Rehabilitation Occupational Therapist 225XP0019X OTR1616 AR

Addresses

Primary practice location

100968 S 4650 Rd
Sallisaw, OK 74955-2672

Mailing address

1628 Highway 288
Charleston, AR 72933-9557
Phone (479) 650-1575

Other practice location 1

226 Skyler Dr
Charleston, AR 72933-9337
Phone (479) 650-1575

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

LicenseStateTypeSpecialty
1706OKMDRegistered Dietitian
OTR1616ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1063051399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 HIGHWAY 288",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729339557",
            "telephone_number": "479-650-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100968 S 4650 RD",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552672",
            "telephone_number": "479-650-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Skyler Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "AR",
            "postal_code": "729339337",
            "country_code": "US",
            "telephone_number": "479-650-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADER",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1616",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1706",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AR",
            "license": "OTR1616",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AR",
            "license": "OTR1616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.