Active NPI
Sarah Rhoads Gordon, OTR/L
- Occupational Therapist
- Newark, OH
National Provider Identifier
1235458613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 000535
- Practice address
- 1945 Tamarack Rd
Newark, OH 43055-1300 - Phone
- (740) 349-9777
- Fax
- (740) 349-0787
- NPI assigned
- May 24, 2010
- 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 | 000535 | OH | Primary |
Addresses
Primary practice location
1945 Tamarack Rd
Newark, OH 43055-1300
Mailing address
1945 Tamarack Rd
Newark, OH 43055-1300
Phone (740) 349-9777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000535 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Rehab Services LTD. | Past | Accepting new patients | |
| Executive Rehab Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Newark, OH
- NPI 1043569353
-
- Specialist
- Newark, OH
- NPI 1972678100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1235458613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551300",
"telephone_number": "740-349-9777",
"fax_number": "740-349-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551300",
"telephone_number": "740-349-9777",
"fax_number": "740-349-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "SARAH",
"middle_name": "RHOADS",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "000535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.