Individual provider Active NPI

Sarah Haydock Ura, OTR/L

  • Pediatric Occupational Therapist
  • Danvers, MA
National Provider Identifier
1750862025
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
12798 Issued in MA
Practice address
149 Sylvan St
Danvers, MA 01923-3564
Phone
(978) 774-7570
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 12798 MA Primary

Addresses

Primary practice location

149 Sylvan St
Danvers, MA 01923-3564

Mailing address

2 Bowdoin St Apt 523
Everett, MA 02149-2459

Other practice location 1

2 Bowdoin St Apt 523
Everett, MA 02149-2459
Phone (603) 391-9216

Other names 1

  • Sarah Galt Haydock Former name

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
12798MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion LLC Pediatrics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1750862025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BOWDOIN ST APT 523",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021492459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233564",
            "telephone_number": "978-774-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bowdoin St Apt 523",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021492459",
            "country_code": "US",
            "telephone_number": "603-391-9216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URA",
        "first_name": "SARAH",
        "middle_name": "HAYDOCK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "12798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HAYDOCK",
            "middle_name": "GALT",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.