Active NPI
Sarah Beth Jordan, OTR/L
- Occupational Therapist
- Cheyenne, WY
National Provider Identifier
1609006014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 471
- Practice address
- 4024 Laramie St
Cheyenne, WY 82001-2064 - Phone
- (307) 634-5384
- NPI assigned
- Jul 20, 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 | 471 | WY | Primary |
Addresses
Primary practice location
4024 Laramie St
Cheyenne, WY 82001-2064
Mailing address
8204 Stagecoach Rd
Cheyenne, WY 82009-9509
Phone (307) 634-1741
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471 | WY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1609006014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 STAGECOACH RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820099509",
"telephone_number": "307-634-1741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 LARAMIE ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012064",
"telephone_number": "307-634-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "SARAH",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WY",
"license": "471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.