Individual provider Active NPI

Kathleen Lee Sayre, OTR/L

  • Occupational Therapist
  • Scott Depot, WV
National Provider Identifier
1366926115
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1831 Issued in WV
Practice address
6979 Teays Valley Rd
Scott Depot, WV 25560-7097
Phone
(681) 235-7156
Fax
(800) 901-7511
NPI assigned
Sep 18, 2018
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 1831 WV Primary

Addresses

Primary practice location

6979 Teays Valley Rd
Scott Depot, WV 25560-7097

Mailing address

PO Box 977
Hurricane, WV 25526-0977
Phone (681) 235-7156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000276 WV Practitioner - Occupational Therapist in Private Practice 8224474754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Communication Station, Inc.Group PAC ID 2062858590, 3 clinicians

Practice addresses (Care Compare)

6979 Teays Valley Rd
Scott Depot, WV 25560-7097
Phone (681) 235-7156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1831WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Station, Inc. CurrentSince Jan 6, 2024 Accepting new patients

Locations

6979 Teays Valley Rd
Scott Depot, WV 25560
Phone (681) 235-7156

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1366926115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255260977",
            "telephone_number": "681-235-7156",
            "fax_number": "800-901-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 TEAYS VALLEY RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607097",
            "telephone_number": "681-235-7156",
            "fax_number": "800-901-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "KATHLEEN",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.