Individual provider Active NPI

Sarah Jean Waible, M.S., OTR

  • Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1477794535
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2503 Issued in CO
Practice address
1455 Ivy St
Fort Collins, CO 80525-2326
Phone
(970) 631-5710
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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 2503 CO Primary

Addresses

Primary practice location

1455 Ivy St
Fort Collins, CO 80525-2326

Mailing address

PO Box 271293
Fort Collins, CO 80527-1293
Phone (970) 631-5710

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
Master of Science

State licenses

LicenseStateTypeSpecialty
2503COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Waible Otr LLC Occupational Therapist 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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1477794535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271293",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805271293",
            "telephone_number": "970-631-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 IVY ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252326",
            "telephone_number": "970-631-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIBLE",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "M.S., OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.