Active NPI
Sarah M Staker, OTR
- Occupational Therapist
- Killeen, TX
National Provider Identifier
1184812794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112255
- Practice address
- 882 S Fort Hood St
Suite 1050
Killeen, TX 76541-7433 - Phone
- (254) 554-8100
- Fax
- (254) 554-8142
- NPI assigned
- Oct 9, 2007
- Last updated
- Jan 31, 2008
- 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 | 112255 | TX | Primary |
Addresses
Primary practice location
882 S Fort Hood St
Suite 1050
Killeen, TX 76541-7433
Mailing address
PO Box 10340
Killeen, TX 76547-0340
Phone (254) 554-8100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112255 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeanice Amy Mitchell | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1184812794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10340",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765470340",
"telephone_number": "254-554-8100",
"fax_number": "254-554-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 S FORT HOOD ST",
"address_2": "SUITE 1050",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765417433",
"telephone_number": "254-554-8100",
"fax_number": "254-554-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAKER",
"first_name": "SARAH",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.