Active NPI
Sarah Flanagan, MOT, OTR/L
- Occupational Therapist
- Newbury, OH
National Provider Identifier
1790202232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009869
- Practice address
- 10190 Fairmount Rd
Newbury, OH 44065-9531 - Phone
- (216) 820-4492
- NPI assigned
- Aug 25, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009869 | OH | Primary |
Addresses
Primary practice location
10190 Fairmount Rd
Newbury, OH 44065-9531
Mailing address
1818 Bronson St
Peninsula, OH 44264-9602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90951954098 | Other | OH | MEDICAL MUTUAL |
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 |
|---|---|---|---|
| OT009869 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1790202232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 BRONSON ST",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10190 FAIRMOUNT RD",
"city": "NEWBURY",
"state": "OH",
"postal_code": "440659531",
"telephone_number": "216-820-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT009869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "90951954098",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newbury, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.