Active NPI
Sara Laurenza, OTR/L
- Pediatric Occupational Therapist
- Kailua, HI
National Provider Identifier
1093384901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-2467
- Practice address
- 970 N Kalaheo Ave Ste C203
Kailua, HI 96734-1882 - Phone
- (808) 261-4999
- NPI assigned
- Jun 24, 2021
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025645-01 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | OT-2467 | HI | Primary |
Addresses
Primary practice location
970 N Kalaheo Ave Ste C203
Kailua, HI 96734-1882
Mailing address
710 Green St
Honolulu, HI 96813-2119
Other practice location 1
94-1181 Ka Uka Blvd Ste C
Waipahu, HI 96797-4485
Phone (808) 260-9056
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 |
|---|---|---|---|
| 025645-01 | NY | MD | Occupational Therapist |
| OT-2467 | HI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Pediatrics | Current | Accepting new patients |
Locations
94-1181 Ka Uka Blvd
Ste C
Waipahu, HI 96797
Phone (808) 260-9056
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": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1093384901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GREEN ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C203",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341882",
"telephone_number": "808-261-4999"
}
],
"practiceLocations": [
{
"address_1": "94-1181 Ka Uka Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967974485",
"country_code": "US",
"telephone_number": "808-260-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURENZA",
"first_name": "SARA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025645-01",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "OT-2467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.