Individual provider Active NPI

Sarah Kay Sharpe-Wedlund, COTA/L

  • Occupational Therapy Assistant
  • Maplewood, MN
National Provider Identifier
1629649884
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
202070 Issued in MN
Practice address
2495 Maplewood Dr N Ste 312
Maplewood, MN 55109-1985
Phone
(651) 760-3109
Fax
(651) 967-9417
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 202070 MN Primary

Addresses

Primary practice location

2495 Maplewood Dr N Ste 312
Maplewood, MN 55109-1985

Mailing address

2495 Maplewood Dr N Ste 312
Maplewood, MN 55109-1985
Phone (651) 760-3109

Other names 1

  • Sarah Kay Sharpe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SECURE@FUNCTIONALKIDS.HUSH.COM Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
202070MNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Connections, Inc. CurrentSince Jul 17, 2021 Accepting new patients

Locations

2495 Maplewood Dr N
Ste 312
Maplewood, MN 55109
Phone (651) 760-3109

Interoperability endpoints

  • Direct secure messaging: secure@functionalkids.hush.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1629649884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR N STE 312",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091985",
            "telephone_number": "651-760-3109",
            "fax_number": "651-967-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR N STE 312",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091985",
            "telephone_number": "651-760-3109",
            "fax_number": "651-967-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE-WEDLUND",
        "first_name": "SARAH",
        "middle_name": "KAY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SECURE@FUNCTIONALKIDS.HUSH.COM",
            "affiliation": "N",
            "endpointDescription": "Provider Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2495 Maplewood Dr N Ste 312",
            "city": "Maplewood",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551091985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SHARPE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.