Individual provider Active NPI

Sandra M Drotos

  • Occupational Therapist
  • Avon Lake, OH
National Provider Identifier
1316974751
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002860 Issued in OH
Practice address
533 Bayhill Drive
Suite 108
Avon Lake, OH 44012
Phone
(330) 541-5488
Fax
(440) 398-0500
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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 002860 OH Primary

Addresses

Primary practice location

533 Bayhill Drive
Suite 108
Avon Lake, OH 44012

Mailing address

533 Bay Hill Dr
Avon Lake, OH 44012-4106
Phone (330) 541-5488

Other identifiers 1

IdentifierTypeStateIssuer
002860OtherOHOT #

Other names 1

  • Sandra M Harris Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002860OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Just in Time Therapy, Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1316974751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BAY HILL DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440124106",
            "telephone_number": "330-541-5488",
            "fax_number": "440-398-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BAYHILL DRIVE",
            "address_2": "SUITE 108",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "44012",
            "telephone_number": "330-541-5488",
            "fax_number": "440-398-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROTOS",
        "first_name": "SANDRA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "002860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT #",
            "identifier": "002860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "HARRIS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.