Sarah Brewer, MS., CCC-SLP

Key facts

NPI

1780957175

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

4164 (OK)

Practice address

100 S 2ND St
Thomas, OK 73669-8201

Phone

(580) 661-2639

Fax

(580) 661-2640

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

No

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.

• Kids Therapy Connection PLLC Physical Therapy Clinic/Center · Thomas, OK · NPI 1851814834
  NPD Authorized official SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2016.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1780957175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "THOMAS",
            "state": "OK",
            "postal_code": "736698201",
            "telephone_number": "580-661-2639",
            "fax_number": "580-661-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 2ND ST",
            "city": "THOMAS",
            "state": "OK",
            "postal_code": "736698201",
            "telephone_number": "580-661-2639",
            "fax_number": "580-661-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "SARAH",
        "credential": "MS., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Thomas, OK · Speech-Language Pathologist in Oklahoma