Active NPI
Sara Anne Petko, MS,OTR/L
- Occupational Therapist
- Buffalo, NY
National Provider Identifier
1487981825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015781
- Practice address
- 50 E North St
Buffalo Hearing & Speech Center
Buffalo, NY 14203-1002 - Phone
- (716) 885-8871
- Fax
- (716) 923-1537
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 015781 | NY | Primary |
Addresses
Primary practice location
50 E North St
Buffalo Hearing & Speech Center
Buffalo, NY 14203-1002
Mailing address
50 E North St
Buffalo Hearing & Speech Center
Buffalo, NY 14203-1002
Phone (716) 885-8871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004909976 | Medicaid | VA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015781 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1487981825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"address_2": "BUFFALO HEARING & SPEECH CENTER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8871",
"fax_number": "716-923-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E NORTH ST",
"address_2": "BUFFALO HEARING & SPEECH CENTER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031002",
"telephone_number": "716-885-8871",
"fax_number": "716-923-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETKO",
"first_name": "SARA",
"middle_name": "ANNE",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004909976",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.