Individual provider Active NPI

Sarah Hampton Johnson, OT

  • Occupational Therapist
  • Madison, MS
National Provider Identifier
1487014601
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1810 Issued in MS
Practice address
7521 Old Canton Rd
Madison, MS 39110-8669
Phone
(601) 856-8041
Fax
(866) 404-9501
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 OT1810 MS Primary

Addresses

Primary practice location

7521 Old Canton Rd
Madison, MS 39110-8669

Mailing address

130 Oakwood PL
Brandon, MS 39047-8592
Phone (228) 348-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001290 MS Practitioner - Occupational Therapist in Private Practice 6002112695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Health Therapy Services LLCGroup PAC ID 3779957667, 7 clinicians

Practice addresses (Care Compare)

7521 Old Canton Rd
Madison, MS 39110-8669
Phone (601) 856-8041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT1810MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Health Therapy Services, LLC CurrentSince Mar 19, 2023 Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients
Drayer Physical Therapy Institute LLC Past Accepting new patients

Locations

8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740

7521 Old Canton Rd
Madison, MS 39110
Phone (601) 856-8041

5703 Gulf Tech Dr
Ocean Springs, MS 39564
Phone (228) 875-5447

Organizations & group practices 3

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1487014601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OAKWOOD PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478592",
            "telephone_number": "228-348-0694",
            "fax_number": "866-404-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108669",
            "telephone_number": "601-856-8041",
            "fax_number": "866-404-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "HAMPTON",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.