NPIMap

Organization Active NPI

Platte River Therapy, LLC

  • Occupational Therapist
  • Sinclair, NY
National Provider Identifier
1407265721
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-760 Issued in WY
Legal business name
PLATTE RIVER THERAPY, LLC
Practice address
301 North 8TH Street
Sinclair, NY 82334-0346
Phone
(307) 258-3655
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Sarah Fern Johansson, OTR/LNPI 1780072405
Title
Otr/L
Phone
(307) 321-5280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OTR-760 WY Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OTR-467 WY

Addresses

Primary practice location

301 North 8TH Street
Sinclair, NY 82334-0346

Mailing address

PO Box 346
Sinclair, NY 82334-0346
Phone (307) 258-3655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1407265721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "SINCLAIR",
            "state": "NY",
            "postal_code": "823340346",
            "telephone_number": "307-258-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH 8TH STREET",
            "city": "SINCLAIR",
            "state": "NY",
            "postal_code": "823340346",
            "telephone_number": "307-258-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE RIVER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHANSSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "307-321-5280",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-760",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.