Active NPI
Jacqueline Mary Sabin, M.S. OTR/L
- Hand Occupational Therapist
- Holmdel, NJ
National Provider Identifier
1790880581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 46TR00392300
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011003-1 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Outpatient Services, Inc. | Current | Accepting new patients | |
| Hackensack Meridian Outpatient Services, Inc. | Current | Accepting new patients | |
| Hackensack Meridian Outpatient Services, Inc. | Current | 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.
-
dba Hackensack Meridian Rehabilitation Clark
- Physical Therapist
- Clark, NJ
- NPI 1982381026
-
dba Hackensack Meridian Rehabilitation Eatontown
- Physical Therapist
- Eatontown, NJ
- NPI 1336829670
-
dba Hackensack Meridian Imaging Freehold
- Radiology Clinic/Center
- Freehold, NJ
- NPI 1396569125
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1518026756
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
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.