Active NPI
Sandra P Neubauer, BS OTR/L
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1417157702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC005178L
- Practice address
- 4900 Frankford Ave
Philadelphia, PA 19124-2618 - Phone
- (215) 831-2000
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OC005178L | PA | Primary |
Addresses
Primary practice location
4900 Frankford Ave
Philadelphia, PA 19124-2618
Mailing address
4900 Frankford Ave
Philadelphia, PA 19124-2618
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC005178L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1417157702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242618",
"telephone_number": "215-831-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBAUER",
"first_name": "SANDRA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "BS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC005178L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.