Individual provider Active NPI

Steven Eugene Sabo Jr., OTRL

  • Occupational Therapist
  • Iowa City, IA
National Provider Identifier
1124133665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
IOWA 00426 Issued in IA
Practice address
1705 1St Avenue South
Suite C
Iowa City, IA 52240-6037
Phone
(319) 337-8818
Fax
(319) 337-8308
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X IOWA 00426 IA Primary

Addresses

Primary practice location

1705 1St Avenue South
Suite C
Iowa City, IA 52240-6037

Mailing address

1705 1St Avenue South
Suite C
Iowa City, IA 52240-6037
Phone (319) 337-8818

Other identifiers 1

IdentifierTypeStateIssuer
31169OtherIABLUE CROSS BLUE SHIELD

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
IOWA 00426IAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124133665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 1ST AVENUE SOUTH",
            "address_2": "SUITE C",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406037",
            "telephone_number": "319-337-8818",
            "fax_number": "319-337-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 1ST AVENUE SOUTH",
            "address_2": "SUITE C",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406037",
            "telephone_number": "319-337-8818",
            "fax_number": "319-337-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "IOWA 00426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31169",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.