Active NPI
Jackie M Sands, OTR
- Occupational Therapist
- Sparta, WI
National Provider Identifier
1427291731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4725-026
- Practice address
- 331 S Water St
Sparta, WI 54656-1726 - Phone
- (608) 269-0555
- NPI assigned
- Apr 16, 2009
- 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 | 4725-026 | WI | Primary |
Addresses
Primary practice location
331 S Water St
Sparta, WI 54656-1726
Mailing address
331 S Water St
Sparta, WI 54656-1726
Phone (608) 366-6239
Other names 1
- Miss Jackie M Bee
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4725-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | 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.
-
- Rehabilitation Clinic/Center
- Greenfield, WI
- NPI 1326099128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1427291731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 S WATER ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "546561726",
"telephone_number": "608-366-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S WATER ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "546561726",
"telephone_number": "608-269-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "JACKIE",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4725-026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACKIE",
"last_name": "BEE",
"middle_name": "M",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.