Individual provider Active NPI

Sasha Perez Negron, ATOL

  • Occupational Therapy Assistant
  • Ponce, PR
National Provider Identifier
1396249983
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
905 Issued in PR
Practice address
239 Sabanetas Ind PK
Ponce, PR 00716-4401
Phone
(939) 238-1864
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 905 PR Primary

Addresses

Primary practice location

239 Sabanetas Ind PK
Ponce, PR 00716-4401

Mailing address

PO Box 519
Villalba, PR 00766-0519
Phone (787) 709-1717

Other identifiers 1

IdentifierTypeStateIssuer
905OtherPRATOL

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

LicenseStateTypeSpecialty
905PRMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intercede Occupational Therapy Assistant 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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1396249983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007660519",
            "telephone_number": "787-709-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 SABANETAS IND PK",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164401",
            "telephone_number": "939-238-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NEGRON",
        "first_name": "SASHA",
        "credential": "ATOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATOL",
            "identifier": "905",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.