Individual provider Active NPI

Sara Patino, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1275987380
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2015015642 Issued in MO
Practice address
4156 Walsh St
Saint Louis, MO 63116-2317
Phone
(314) 267-2588
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 2015015642 MO Primary

Addresses

Primary practice location

4156 Walsh St
Saint Louis, MO 63116-2317

Mailing address

4156 Walsh St
Saint Louis, MO 63116-2317
Phone (314) 267-2588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000658 MO Practitioner - Occupational Therapist in Private Practice 2365800570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1051 Kent St
Liberty, MO 64068-2257
Phone (816) 370-5242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015015642MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC CurrentSince Jun 16, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jun 16, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jun 16, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jun 16, 2023 Accepting new patients

Locations

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

7651 Clayton Rd
Saint Louis, MO 63117
Phone (314) 390-9399

Organizations & group practices 4

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1275987380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 WALSH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162317",
            "telephone_number": "314-267-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 WALSH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162317",
            "telephone_number": "314-267-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "SARA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2015015642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.