Individual provider Active NPI

Jennifer Sager, OT

  • Hand Occupational Therapist
  • Matthews, NC
National Provider Identifier
1316276694
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
8345 Issued in NC
Practice address
1212 Mann Dr Ste 200
Matthews, NC 28105
Phone
(980) 262-3007
Fax
(980) 262-3528
NPI assigned
Dec 15, 2009
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 8345 NC Primary

Addresses

Primary practice location

1212 Mann Dr Ste 200
Matthews, NC 28105

Mailing address

1212 Mann Dr Ste 200
Matthews, NC 28105-5511
Phone (980) 262-3007

Other practice location 1

315 Highway 35
Red Bank, NJ 07701-5913
Phone (732) 224-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417002638 NC Practitioner - Occupational Therapist in Private Practice 0840279832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ubylee Healthcare Group, PLLCGroup PAC ID 8921349044, 14 clinicians

Practice addresses (Care Compare)

1044 X Ray Dr
Gastonia, NC 28054-7488
Phone (980) 262-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002254CTMDProfessional Counselor
8345NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ubylee Healthcare Group, PLLC Hand CurrentSince Feb 5, 2019 Accepting new patients
Ubylee Healthcare Group, PLLC Current Accepting new patients
Ubylee Healthcare Group CurrentSince Feb 5, 2019 Accepting new patients
Shaws Cove Orthopaedics, LLC PastSince Aug 10, 2000 Accepting new patients

Locations

1044 X Ray Dr
Gastonia, NC 28054
Phone (704) 691-7145

1212 Mann Dr
Ste 200
Matthews, NC 28105
Phone (980) 262-3007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1316276694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MANN DR STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055511",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MANN DR STE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077015913",
            "country_code": "US",
            "telephone_number": "732-224-9355",
            "fax_number": "732-224-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGER",
        "first_name": "JENNIFER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "8345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.