Active NPI
Sarah Jayne Hamilton, OTR IL
- Pediatric Occupational Therapist
- Louisville, KY
National Provider Identifier
1093293409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 241347
- 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, 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346687332 | Other | KY | NPI |
Other names 1
- Ms. Sarah Jayne Cocanougher
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 |
|---|---|---|---|
| 241347 | KY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.