Active NPI
Sarah Ellen Clemons, OTR/L
- Occupational Therapist
- Hazard, KY
National Provider Identifier
1083200711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 267425
- Practice address
- 117 Corporate Dr Ste 104
Hazard, KY 41701-8267 - Phone
- (606) 436-6600
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 267425 | KY | Primary |
Addresses
Primary practice location
117 Corporate Dr Ste 104
Hazard, KY 41701-8267
Mailing address
PO Box 73
Vest, KY 41772-0073
Phone (606) 497-9999
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 |
|---|---|---|---|
| 267425 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1083200711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "VEST",
"state": "KY",
"postal_code": "417720073",
"telephone_number": "606-497-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 CORPORATE DR STE 104",
"city": "HAZARD",
"state": "KY",
"postal_code": "417018267",
"telephone_number": "606-436-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "SARAH",
"middle_name": "ELLEN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "267425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.