Active NPI
Sara Celeste Gormley, OTR/L
- Occupational Therapist
- Merriam, KS
National Provider Identifier
1356621833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1581
- Practice address
- 10000 W 75TH St
Ste 250
Merriam, KS 66204-2209 - Phone
- (913) 894-1910
- Fax
- (913) 894-1174
- NPI assigned
- Aug 28, 2011
- 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 Therapist | 225X00000X | 1581 | NE | Primary |
Addresses
Primary practice location
10000 W 75TH St
Ste 250
Merriam, KS 66204-2209
Mailing address
13707 Margo St
Omaha, NE 68138-5419
Phone (402) 991-2338
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 |
|---|---|---|---|
| 1581 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage at Home LLC | 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.
-
- Home Health Agency
- Longmeadow, MA
- NPI 1790156750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314489600000",
"number": "1356621833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13707 MARGO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681385419",
"telephone_number": "402-991-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST",
"address_2": "STE 250",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042209",
"telephone_number": "913-894-1910",
"fax_number": "913-894-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMLEY",
"first_name": "SARA",
"middle_name": "CELESTE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2011-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.