Sarah R Peck, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

385369

Practice address

1530 Da Nang Dr Apt C
Coronado, CA 92118

Phone

(484) 426-8230

NPI assigned

Dec 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Graver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1154836336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 DA NANG DR APT C",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183174",
            "telephone_number": "484-426-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DA NANG DR APT C",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118",
            "telephone_number": "484-426-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 SW Barrington Dr Apt 201",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982774598",
            "country_code": "US",
            "telephone_number": "484-426-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1039 SW Barrington Dr Apt 201",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982774598",
            "country_code": "US",
            "telephone_number": "484-426-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "SARAH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "385369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GRAVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapy Assistant in Coronado, CA
• Providers in Coronado, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.