Individual provider Active NPI

Sara Judith Weirich, OT

  • Occupational Therapist
  • Cumming, GA
National Provider Identifier
1487047429
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006066 Issued in GA
Practice address
6220 Lakeaires Dr
Cumming, GA 30040-4292
Phone
(540) 207-5163
Fax
(678) 807-2567
NPI assigned
Mar 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 OT006066 GA Primary

Addresses

Primary practice location

6220 Lakeaires Dr
Cumming, GA 30040-4292

Mailing address

6220 Lakeaires Dr
Cumming, GA 30040-4292
Phone (540) 207-5163

Other identifiers 1

IdentifierTypeStateIssuer
003176348BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
OT006066GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Hopes Children'S Therapy LLC Pediatrics CurrentSince Sep 28, 2021 Accepting new patients

Locations

3538 Old Milton Pkwy
Alpharetta, GA 30005
Phone (678) 395-3269

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1487047429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 LAKEAIRES DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404292",
            "telephone_number": "540-207-5163",
            "fax_number": "678-807-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 LAKEAIRES DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404292",
            "telephone_number": "540-207-5163",
            "fax_number": "678-807-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRICH",
        "first_name": "SARA",
        "middle_name": "JUDITH",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176348B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.