Active NPI
Brooke M. Sauer, OT
- Occupational Therapist
- Gallipolis, OH
National Provider Identifier
1336168376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4367
- Practice address
- 1051 4TH Ave
Gallipolis, OH 45631 - Phone
- (740) 446-5244
- Fax
- (740) 446-5448
- NPI assigned
- Jul 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.003840 | OH | |
| Occupational Therapist | 225X00000X | 4367 | SC | Primary |
Addresses
Primary practice location
1051 4TH Ave
Gallipolis, OH 45631
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5244
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0555340 | Other | OH | MOLINA MEDICAID |
| 000000217244 | Other | ANTHEM BCBS | |
| 670001493 | Other | RR MEDICARE | |
| 000000204793 | Other | OH MEDICAID UNISON | |
| 3058935 | Medicaid | OH | |
| 310917085176 | Other | OHIO MEDICAID CARESOURCE | |
| 001714137 | Other | MOUNTAIN STATE BCBS | |
| 0159613000 | Medicaid | WV |
Other names 1
- Brooke Miller
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.003840 | OH | MD | Occupational Therapist |
| 4367 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1336168376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5244",
"fax_number": "740-446-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 4TH AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "45631",
"telephone_number": "740-446-5244",
"fax_number": "740-446-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUER",
"first_name": "BROOKE",
"middle_name": "M.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.003840",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA MEDICAID",
"identifier": "0555340",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000217244",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "670001493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000204793",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3058935",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID CARESOURCE",
"identifier": "310917085176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "001714137",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0159613000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "MILLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.