Individual provider Active NPI

Sarah Schupak, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1265825558
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017345 Issued in NY
Practice address
70 Clark St
Apt 2M
Brooklyn, NY 11201-2449
Phone
(914) 522-7573
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017345 NY Primary

Addresses

Primary practice location

70 Clark St
Apt 2M
Brooklyn, NY 11201-2449

Mailing address

70 Clark St
Apt 2M
Brooklyn, NY 11201-2449

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

LicenseStateTypeSpecialty
017345NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1265825558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CLARK ST",
            "address_2": "APT 2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CLARK ST",
            "address_2": "APT 2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012449",
            "telephone_number": "914-522-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPAK",
        "first_name": "SARAH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.