Individual provider Active NPI

Sara Beth Wilbert, OTR

  • Pediatric Occupational Therapist
  • Forked River, NJ
National Provider Identifier
1730407958
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
2 Hollywood Blvd N Ste 8
Forked River, NJ 08731-4842
Phone
(609) 200-1118
Fax
(866) 368-4449
NPI assigned
May 12, 2010
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

2 Hollywood Blvd N Ste 8
Forked River, NJ 08731-4842

Mailing address

504 Center St
Forked River, NJ 08731-2338
Phone (732) 580-0719

Other practice location 1

504 Center St
Forked River, NJ 08731-2338
Phone (732) 580-0719

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Pediatric Therapy Services LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients

Locations

2 Hollywood Blvd N
Ste 8
Forked River, NJ 08731
Phone (609) 200-1118

52 Hyers St
Unit A3
Toms River, NJ 08753
Phone (609) 200-1118

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1730407958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CENTER ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312338",
            "telephone_number": "732-580-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOLLYWOOD BLVD N STE 8",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314842",
            "telephone_number": "609-200-1118",
            "fax_number": "866-368-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Center St",
            "address_purpose": "LOCATION",
            "city": "Forked River",
            "state": "NJ",
            "postal_code": "087312338",
            "country_code": "US",
            "telephone_number": "732-580-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBERT",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.