Active NPI
Alicia Sakran
- Occupational Therapist
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15585
- Practice address
- 3020 Henderson Dr
Jacksonville, NC 28546-5246 - Phone
- (910) 484-1711
- NPI assigned
- Jan 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15585 | NC | Primary |
Addresses
Primary practice location
3020 Henderson Dr
Jacksonville, NC 28546-5246
Mailing address
2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Phone (910) 484-1711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15585 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage OT, PC | Occupational Therapist | Current | Accepting new patients |
| Ivyrehab Michigan, LLC | Occupational Therapist | Current | Accepting new patients |
| Advantage OT Inc. | Occupational Therapist | Current | Accepting new patients |
| Autism Therapeutic Services | Occupational Therapist | Past | Accepting new patients |
Locations
1161 E Clark Rd
Ste 360
Dewitt, MI 48820
Phone (517) 507-5525
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905
103 N Plain Rd
Jacksonville, NC 28546
Phone (888) 258-6905
Organizations & group practices 4
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Occupational Therapist
-
- Occupational Therapist
- Beulaville, NC
- NPI 1962717025
-
- Occupational Therapist
- Beulaville, NC
- NPI 1497282479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1134833668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 BREEZEWOOD AVE STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035283",
"telephone_number": "910-484-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465246",
"telephone_number": "910-484-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKRAN",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.