Individual provider Active NPI

Sara Sterling, OTR/L

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1174880439
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15184 Issued in FL
Practice address
9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174
Phone
(904) 428-0990
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X
Occupational Therapist 225X00000X 15184 FL Primary
Occupational Therapist 225X00000X 10550 MA

Addresses

Primary practice location

9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174

Mailing address

9521 Shellie Rd Ste 11
Jacksonville, FL 32257-6174
Phone (904) 428-0990

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
15184FLMDOccupational Therapist
10550MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Northeast Florida, LLC Multi-Specialty CurrentSince Nov 26, 2023 Accepting new patients

Locations

9521 Shellie Rd
Ste 11
Jacksonville, FL 32257
Phone (904) 428-0990

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1174880439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576174",
            "telephone_number": "904-428-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576174",
            "telephone_number": "904-428-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "SARA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15184",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.