Individual provider Active NPI

Sarah Benton Wall, MS, OTR/L

  • Pediatric Occupational Therapist
  • Morganton, NC
National Provider Identifier
1114178514
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6385 Issued in NC
Practice address
121 Fiddlers Run Blvd
Morganton, NC 28655-0095
Phone
(828) 430-3558
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6385 NC
Occupational Therapist 225X00000X 6385 NC
Pediatric Occupational Therapist 225XP0200X 6385 NC Primary

Addresses

Primary practice location

121 Fiddlers Run Blvd
Morganton, NC 28655-0095

Mailing address

300 N Green St
Morganton, NC 28655-3325
Phone (828) 430-3558

Other practice location 1

3623 26th Street Dr NE
Hickory, NC 28601-7206
Phone (828) 514-0615

Other practice location 2

300 N Green St
Morganton, NC 28655-3325
Phone (828) 430-3558

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6385NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Therapy, LLC Occupational Therapist PastSince Aug 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1114178514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N GREEN ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553325",
            "telephone_number": "828-430-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FIDDLERS RUN BLVD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286550095",
            "telephone_number": "828-430-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 26th Street Dr NE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286017206",
            "country_code": "US",
            "telephone_number": "828-514-0615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Green St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553325",
            "country_code": "US",
            "telephone_number": "828-430-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "SARAH",
        "middle_name": "BENTON",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "6385",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6385",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.