Active NPI
Shirleen Sabatino
- Occupational Therapy Assistant
- Canon City, CO
National Provider Identifier
1306249636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA0000310
- Practice address
- 1338 Phay Ave.
Canon City, CO 81212-4577 - Phone
- (719) 285-2000
- NPI assigned
- Oct 1, 2014
- Last updated
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA0000310 | CO | Primary |
Addresses
Primary practice location
1338 Phay Ave.
Canon City, CO 81212-4577
Mailing address
1836 Flora CT
Canon City, CO 81212-4577
Phone (719) 275-6713
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 |
|---|---|---|---|
| OTA0000310 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1306249636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 FLORA CT",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124577",
"telephone_number": "719-275-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 PHAY AVE.",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124577",
"telephone_number": "719-285-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABATINO",
"first_name": "SHIRLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CO",
"license": "OTA0000310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.