Active NPI
Jonathan Sabo
- Occupational Therapy Assistant
- Chattanooga, TN
National Provider Identifier
1558567131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA0000001629
- Practice address
- 3400 Jenkins Rd Apt 1021
Chattanooga, TN 37421-1166 - Phone
- (423) 208-0500
- NPI assigned
- Jun 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OTA0000001629 | TN | Primary |
Addresses
Primary practice location
3400 Jenkins Rd Apt 1021
Chattanooga, TN 37421-1166
Mailing address
3400 Jenkins Rd Apt 1021
Chattanooga, TN 37421-1166
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA0000001629 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558567131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 JENKINS RD APT 1021",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 JENKINS RD APT 1021",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211166",
"telephone_number": "423-208-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "OTA0000001629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- S & L Healthcare Services
- S&L Adult Day Center
- Michael Dane Saavedra, PHARMD
- Yazan George Saba, D.O.
- Peter Raymond Sabatini, M.D.
- Shanna Sadeh, LICENSED PSYCH.
- Safe Care Senior Services, LLC. (Amada Senior Care Chattanooga)
- Safe Traveling Automobile Inc
- Sage Dental of Chattanooga at Hamilton Place, PLLC
- David Sahaj, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.