Individual provider Active NPI

Sara Goodall Bickler

  • Pediatric Occupational Therapist
  • Fairfax, VA
National Provider Identifier
1619607413
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
10805 Main St Ste 100
Fairfax, VA 22030-4729
Phone
(703) 978-8400
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 Primary

Addresses

Primary practice location

10805 Main St Ste 100
Fairfax, VA 22030-4729

Mailing address

10805 Main St Ste 100
Fairfax, VA 22030-4729
Phone (703) 978-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarabickler@therapy4kidsei.com

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

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1619607413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 MAIN ST STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304729",
            "telephone_number": "703-978-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 MAIN ST STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304729",
            "telephone_number": "703-978-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLER",
        "first_name": "SARA",
        "middle_name": "GOODALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarabickler@therapy4kidsei.com",
            "affiliation": "N",
            "address_1": "10805 Main St Ste 100",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220304729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.