Individual provider Active NPI

Jacqueline Mary Sabin, M.S. OTR/L

  • Hand Occupational Therapist
  • Holmdel, NJ
National Provider Identifier
1790880581
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR00392300 Issued in NJ
Practice address
727 N Beers St
Holmdel, NJ 07733-1514
Phone
(732) 739-5955
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 011003-1 NY
Hand Occupational Therapist 225XH1200X 46TR00392300 NJ Primary

Addresses

Primary practice location

727 N Beers St
Holmdel, NJ 07733-1514

Mailing address

101 Manfre CT
Freehold, NJ 07728-9338
Phone (917) 612-5097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000463 NJ Practitioner - Occupational Therapist in Private Practice 6406847342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
011003-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. Current Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince May 30, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince May 30, 2025 Accepting new patients
Empire State Occupational Therapy PC Past Accepting new patients
Sports Physical Therapy of New York, P.C. Past Accepting new patients

Locations

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

135 NJ 35
Eatontown, NJ 07724
Phone (848) 308-4911

Organizations & group practices 5

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1790880581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANFRE CT",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289338",
            "telephone_number": "917-612-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331514",
            "telephone_number": "732-739-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "JACQUELINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "011003-1",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00392300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.