Sarah N Gordon, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT61202000 Issued in WA

Practice address

402 91St Ave NE
Lake Stevens, WA 98258-2530

Phone

(425) 353-0455

Fax

(425) 335-1894

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1114683554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 91ST AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582530",
            "telephone_number": "425-353-0455",
            "fax_number": "425-335-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 91ST AVE NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582530",
            "telephone_number": "425-353-0455",
            "fax_number": "425-335-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SARAH",
        "middle_name": "N",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61202000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT61202000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Richard Geving
• Ramy Gewida, PHARMD
• Heather Maridawn Gilman, LMP
• Glacier Oral & Maxillofacial Surgery
• Tobey Gloss, LPN
• Marsha Marie Graf, LMP
• Kevin P Graham, PT
• Lydia Laurel Grauer, DPT
• Thomas Gray
• Kathryn Grooms, L.M.P.

• Pediatric Occupational Therapist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.