Active NPI
Sarah Medina, COTA/L
- Occupational Therapist
- Two Harbors, MN
National Provider Identifier
1376240176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTA18241
- Practice address
- 402 13TH Ave
Two Harbors, MN 55616-1267 - Phone
- (218) 834-8374
- NPI assigned
- Feb 13, 2023
- Last updated
- Feb 13, 2023
- 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 | OTA18241 | FL | Primary |
Addresses
Primary practice location
402 13TH Ave
Two Harbors, MN 55616-1267
Mailing address
1963 Dorion St
Port Charlotte, FL 33948-1212
Phone (502) 598-6139
Other names 1
- Sarah Morgan
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA18241 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1376240176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 DORION ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481212",
"telephone_number": "502-598-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 13TH AVE",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556161267",
"telephone_number": "218-834-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "SARAH",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OTA18241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "MORGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Two Harbors, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.