Active NPI
Sara Paige Johnson, OTR/L
- Occupational Therapist
- Ladson, SC
National Provider Identifier
1699295915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4959
- Practice address
- 3851 Commercial Center Dr
Ladson, SC 29456-4146 - Phone
- (843) 314-5434
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 4959 | SC | Primary |
Addresses
Primary practice location
3851 Commercial Center Dr
Ladson, SC 29456-4146
Mailing address
2070 Northbrook Blvd
Charleston, SC 29406-9252
Other practice location 1
2070 Northbrook Blvd
North Charleston, SC 29406-9252
Phone (843) 569-3033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH3568 | Medicaid | SC |
Other names 1
- Sara Paige Gagnier
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Ladson, SC
- NPI 1447591607
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1699295915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 NORTHBROOK BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 COMMERCIAL CENTER DR",
"city": "LADSON",
"state": "SC",
"postal_code": "294564146",
"telephone_number": "843-314-5434"
}
],
"practiceLocations": [
{
"address_1": "2070 Northbrook Blvd",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294069252",
"country_code": "US",
"telephone_number": "843-569-3033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SARA",
"middle_name": "PAIGE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "4959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH3568",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "GAGNIER",
"middle_name": "PAIGE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.