Individual provider Active NPI

Jamie Sandbank

  • Pediatric Occupational Therapist
  • Ellicott City, MD
National Provider Identifier
1346631777
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
04490 Issued in MD
Practice address
3616 Horned Owl CT
Ellicott City, MD 21042-3743
Phone
(443) 812-6396
NPI assigned
Feb 6, 2015
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 04490 MD
Pediatric Occupational Therapist 225XP0200X 04490 MD Primary
Environmental Modification Occupational Therapist 225XE0001X 04490 MD
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 04490 MD

Addresses

Primary practice location

3616 Horned Owl CT
Ellicott City, MD 21042-3743

Mailing address

3616 Horned Owl CT
Ellicott City, MD 21042-3743
Phone (443) 812-6396

Other names 1

  • Jamie Levine Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04490MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1346631777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 HORNED OWL CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423743",
            "telephone_number": "443-812-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 HORNED OWL CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423743",
            "telephone_number": "443-812-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBANK",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MD",
            "license": "04490",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "04490",
            "primary": true
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "MD",
            "license": "04490",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MD",
            "license": "04490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LEVINE",
            "credential": "MS, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.