Active NPI
Sarah Elizabeth Malavasic
- Occupational Therapist
- Utica, NY
National Provider Identifier
1285279406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022941
- Practice address
- 1550 Champlin Ave
Utica, NY 13502-4828 - Phone
- (315) 235-7600
- Fax
- (315) 235-7609
- NPI assigned
- Nov 12, 2019
- 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 | 022941 | NY | Primary |
Addresses
Primary practice location
1550 Champlin Ave
Utica, NY 13502-4828
Mailing address
1550 Champlin Ave
Utica, NY 13502-4828
Phone (315) 235-7600
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 |
|---|---|---|---|
| 022941 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1285279406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024828",
"telephone_number": "315-235-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024828",
"telephone_number": "315-235-7600",
"fax_number": "315-235-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAVASIC",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.