Individual provider Active NPI

Sara Jane Kirby, MS OTR/L

  • Pediatric Occupational Therapist
  • Waynesboro, VA
National Provider Identifier
1619301850
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0119002876 Issued in VA
Practice address
200 W 12TH St
Suite A1-100
Waynesboro, VA 22980-4771
Phone
(540) 241-5910
Fax
(540) 941-5502
NPI assigned
Aug 23, 2013
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0119002876 VA Primary

Addresses

Primary practice location

200 W 12TH St
Suite A1-100
Waynesboro, VA 22980-4771

Mailing address

200 W 12TH St
Suite A1-100
Waynesboro, VA 22980-4771
Phone (540) 241-5910

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119002876VAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1619301850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 12TH ST",
            "address_2": "SUITE A1-100",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804771",
            "telephone_number": "540-241-5910",
            "fax_number": "540-941-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 12TH ST",
            "address_2": "SUITE A1-100",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804771",
            "telephone_number": "540-241-5910",
            "fax_number": "540-941-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "SARA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119002876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.