Sara Jo Scott

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2413 W Maple Ave
Flint, MI 48507-3429

Phone

(989) 370-6386

NPI assigned

Mar 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Jo Fullerton Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Growing Together Pediatric Feeding Therapy, PLLC

  • Occupational Therapist
  • Swartz Creek, MI
  • NPI 1669290730
  Medicare reassignment NPD Authorized official
• Spectrum Autism Center

  • Behavior Technician
  • Freeland, MI
  • NPI 1457898124
  NPD (past)
• Spectrum Autism Center LLC

  • Behavior Analyst
  • Freeland, MI
  • NPI 1275916363
  NPD (past)

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1497286975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 DYE RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484738226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 W MAPLE AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073429",
            "telephone_number": "989-370-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4285 Development Drive",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48911",
            "country_code": "US",
            "telephone_number": "517-706-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5291 Colony Dr N",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486387197",
            "country_code": "US",
            "telephone_number": "989-370-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2378 Woodlake Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488646016",
            "country_code": "US",
            "telephone_number": "517-706-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2413 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485073429",
            "country_code": "US",
            "telephone_number": "989-370-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3949 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "MI",
            "postal_code": "486238856",
            "country_code": "US",
            "telephone_number": "989-702-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SARA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FULLERTON",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deirdre Michelle Scott, LLPC
• Emily Michael Scott
• Jakaylein Scott
• Jennifer Lynn Scott, FNP
• Lonnie J Scott
• Shamika Scott
• Tracey Lyn Scott, LBSW
• Travis Scott, DPT
• Vontae Scott
• Kylie Scrase

• Occupational Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.