Individual provider Active NPI

Sierra Sage, OTR/L

  • Occupational Therapist
  • Somers Point, NJ
National Provider Identifier
1073258315
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01055800 Issued in NJ
Practice address
24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone
(609) 927-1991
NPI assigned
May 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01055800 NJ Primary

Addresses

Primary practice location

24 Macarthur Blvd
Somers Point, NJ 08244-1776

Mailing address

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Other identifiers 1

IdentifierTypeStateIssuer
OTHERMedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.selectmedical.com/

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01055800NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1073258315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGE",
        "first_name": "SIERRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01055800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OTHER",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.selectmedical.com/",
            "affiliation": "N",
            "address_1": "801 Tilton Rd",
            "city": "Northfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082251265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.