Active NPI
Sally Elizabeth Engel Poling, OTRL
- Occupational Therapist
- Glen Burnie, MD
National Provider Identifier
1669680534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3108
- Practice address
- 200 Scott Avenue
Glen Burnie, MD 21060 - Phone
- (410) 222-6942
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3108 | MD | Primary |
Addresses
Primary practice location
200 Scott Avenue
Glen Burnie, MD 21060
Mailing address
623 Robinson Station Road
Severna Park, MD 21146
Phone (410) 544-1727
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3108 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669680534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 ROBINSON STATION ROAD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "21146",
"telephone_number": "410-544-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SCOTT AVENUE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21060",
"telephone_number": "410-222-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLING",
"first_name": "SALLY",
"middle_name": "ELIZABETH ENGEL",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "3108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.