Individual provider Active NPI

Sarah Colgrove Leever, OTR, CLT

  • Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1679920953
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60642595 Issued in WA
Practice address
4017 Pacific Ave
Tacoma, WA 98418-7831
Phone
(817) 235-8791
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60642595 WA Primary

Addresses

Primary practice location

4017 Pacific Ave
Tacoma, WA 98418-7831

Mailing address

4017 Pacific Ave
Tacoma, WA 98418-7831
Phone (817) 235-8791

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
60642595WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1679920953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187831",
            "telephone_number": "817-235-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187831",
            "telephone_number": "817-235-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEVER",
        "first_name": "SARAH",
        "middle_name": "COLGROVE",
        "name_prefix": "Mrs.",
        "credential": "OTR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60642595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.