Individual provider Active NPI

Sarah Auyong, OTD, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1437725264
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2021005118 Issued in MO
Practice address
4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone
(314) 645-6247
NPI assigned
Jun 2, 2021
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2021005118 MO Primary

Addresses

Primary practice location

4389 W Pine Blvd
Saint Louis, MO 63108-2205

Mailing address

4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone (314) 645-6247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210603001232 MO Practitioner - Occupational Therapist in Private Practice 8325447881 Reassigns benefits to 1 organization
I20210624000791 IL Practitioner - Occupational Therapist in Private Practice 8325447881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memory Care Home SolutionsGroup PAC ID 6608147418, 5 clinicians

Practice addresses (Care Compare)

4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone (314) 645-6247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021005118MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Care Home Solutions Occupational Therapist CurrentSince Mar 4, 2021 Accepting new patients

Locations

4389 W Pine Blvd
Saint Louis, MO 63108
Phone (314) 296-1682

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1437725264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 W PINE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082205",
            "telephone_number": "314-645-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 W PINE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082205",
            "telephone_number": "314-645-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUYONG",
        "first_name": "SARAH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021005118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.