Individual provider Active NPI

Sarah Jayne Hamilton, OTR IL

  • Pediatric Occupational Therapist
  • Louisville, KY
National Provider Identifier
1093293409
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
241347 Issued in KY
Practice address
4121 Shelbyville Rd Ste 7
Louisville, KY 40207
Phone
(502) 893-1380
Fax
(502) 893-1773
NPI assigned
Jul 30, 2018
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 241347 KY Primary

Addresses

Primary practice location

4121 Shelbyville Rd Ste 7
Louisville, KY 40207

Mailing address

4121 Shelbyville Rd Ste 7
Louisville, KY 40207-3205
Phone (502) 893-1380

Other practice location 1

169 Spaulding Ln
Springfield, KY 40069-9736
Phone (859) 481-1361

Other identifiers 1

IdentifierTypeStateIssuer
1346687332OtherKYNPI

Other names 1

  • Ms. Sarah Jayne Cocanougher Former name

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
241347KYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplace Learning Center Pediatrics 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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1093293409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073205",
            "telephone_number": "502-893-1380",
            "fax_number": "502-893-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 SHELBYVILLE RD STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-893-1380",
            "fax_number": "502-893-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Spaulding Ln",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400699736",
            "country_code": "US",
            "telephone_number": "859-481-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SARAH",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "OTR IL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "241347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346687332",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "COCANOUGHER",
            "middle_name": "JAYNE",
            "prefix": "MS.",
            "credential": "OTR IL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.