Individual provider Active NPI

Sara Lynn Loesch, MS,OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1366765018
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016048-1 Issued in NY
Practice address
171 Madison Ave
FL 5
New York, NY 10016-5110
Phone
(212) 400-0383
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 016048-1 NY Primary

Addresses

Primary practice location

171 Madison Ave
FL 5
New York, NY 10016-5110

Mailing address

171 Madison Ave
FL 5
New York, NY 10016-5110
Phone (212) 400-0383

Other names 1

  • Sara Lynn Bobertz 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016048-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sensory Motor Integration and Language Enrichment Therapeutic Serv 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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1366765018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE",
            "address_2": "FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165110",
            "telephone_number": "212-400-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE",
            "address_2": "FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165110",
            "telephone_number": "212-400-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016048-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BOBERTZ",
            "middle_name": "LYNN",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.