Sara Katherine Hennessy, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

01030 Issued in IA

Practice address

1005 N Frederick Ave
Suite 4
Oelwein, IA 50662-1018

Phone

(319) 283-2002

Fax

(319) 283-2015

NPI assigned

Sep 10, 2007

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745
  Medicare reassignment
• Taylor Physical Therapy Associates, LLC

  • Physical Therapist
  • Parkersburg, IA
  • NPI 1194052076

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1366637712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-288-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N FREDERICK AVE",
            "address_2": "SUITE 4",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621018",
            "telephone_number": "319-283-2002",
            "fax_number": "319-283-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821461344",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS",
            "identifier": "64080680",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1821461344",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "35202809",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gearhart Chiropractic PC (Oelwein Chiropractic Clinic INC)
• Tim Daniel Gearhart, DC
• Clay F Hallberg, DO
• Hamilton Medical Equipment Service Inc (Rotech)
• Jeannie Hamilton, LISW
• Bo Hjelle
• Hy-Vee Inc (Hy-Vee Pharmacy (1459))
• Kevin Henry Imoehl, DDS
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• John Allen Johnson

• Occupational Therapist in Oelwein, IA
• Providers in Oelwein, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.