Individual provider Active NPI

Sarah Jane Warner, OTR/L

  • Occupational Therapist
  • Ithaca, NY
National Provider Identifier
1710480512
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022290 Issued in NY
Practice address
1 Bella Vista Dr
Ithaca, NY 14850-5792
Phone
(607) 375-6300
NPI assigned
Mar 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 022290 NY Primary

Addresses

Primary practice location

1 Bella Vista Dr
Ithaca, NY 14850-5792

Mailing address

8463 Main St
Interlaken, NY 14847-9800
Phone (330) 309-1334

Other practice location 1

953 Danby Rd
Ithaca, NY 14850-7000
Phone (607) 274-3011

Other practice location 2

2230 N Triphammer Rd
Ithaca, NY 14850-6513
Phone (607) 266-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530002651 NY Practitioner - Occupational Therapist in Private Practice 8325557499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6900 Buckley Rd
Syracuse, NY 13212-4042
Phone (631) 467-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022290NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jun 1, 2025 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

1 Bella Vista Dr
Ithaca, NY 14850
Phone (607) 375-6300

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 2

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1710480512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8463 MAIN ST",
            "city": "INTERLAKEN",
            "state": "NY",
            "postal_code": "148479800",
            "telephone_number": "330-309-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELLA VISTA DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505792",
            "telephone_number": "607-375-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "953 Danby Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148507000",
            "country_code": "US",
            "telephone_number": "607-274-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2230 N Triphammer Rd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148506513",
            "country_code": "US",
            "telephone_number": "607-266-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.