Active NPI
Sarah Brewster, MOT, OTR/L
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1780182139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11564
- Practice address
- 4012 Park Rd
Charlotte, NC 28209-2377 - Phone
- (704) 332-4834
- NPI assigned
- Jan 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.012177 | IL | |
| Occupational Therapist | 225X00000X | 11564 | NC | Primary |
Addresses
Primary practice location
4012 Park Rd
Charlotte, NC 28209-2377
Mailing address
2084 Greenbriar Rd
Springfield, IL 62704-3221
Phone (217) 899-0251
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11564 | NC | MD | General Practice Dentistry |
| 056.012177 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1780182139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2084 GREENBRIAR RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627043221",
"telephone_number": "217-899-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 PARK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092377",
"telephone_number": "704-332-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "SARAH",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012177",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.