Sandra Ann Rayburn, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004269A Issued in IN

Practice address

980 Creekview Dr Ste B
Columbus, IN 47201-6600

Phone

(812) 372-7023

Fax

(812) 372-7027

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Fox Rehab Indiana LLC

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1043568942

  IN, Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649476631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CREEKVIEW DR STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016600",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 CREEKVIEW DR STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016600",
            "telephone_number": "812-372-7023",
            "fax_number": "812-372-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004269A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID NUMBER",
            "identifier": "000000519858",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Ratliff
• David Rau, MD
• Jennifer P. Rauch, COTA
• Sheilah Suzanne Rauh, FNP-C
• Tricia Rayborn
• Geoffrey S Raymer, MD
• RCG Columbus, LLC (Fresenius Medical Care Columbus Bartholomew)
• Madeline Grace Reagan
• Rec and Roll
• Recover Out Loud, Inc.

• Occupational Therapist in Columbus, IN
• Providers in Columbus, IN by specialty
• Occupational Therapist in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.