Sarah Ann Panko, MSORT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0131001049 Issued in VA

Practice address

4668 Pembroke Blvd Ste 115
Virginia Beach, VA 23455

Phone

(577) 648-8562

Fax

(757) 648-8564

NPI assigned

May 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1295114759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FERDINAND CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623860",
            "telephone_number": "757-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 PEMBROKE BLVD STE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "577-648-8562",
            "fax_number": "757-648-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604622",
            "country_code": "US",
            "telephone_number": "423-765-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKO",
        "first_name": "SARAH ANN",
        "credential": "MSORT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001049",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0131001049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Rudolf Pangan, INDEPENDENT DUTY HM
• Alicia Garcia Pangilinan, MD
• Justine Pangilinan, FNP-C
• Gunadhar Panigrahi, MD
• Aviance Chantal Pankey, NP
• Michael S Pankow, D.C.
• Jean Michel Panneton, MD
• Addison Panse, OTR
• Kimberly Ross Pantone, LPC
• Steven Gerald Papariello, MD

• Occupational Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.