Active NPI
Mary Sara Ganz, OTR/L
- Pediatric Occupational Therapist
- Blue Ash, OH
National Provider Identifier
1801299235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 003012
- Practice address
- 5200 Aldine Dr
Blue Ash, OH 45242-6214 - Phone
- (513) 686-1750
- NPI assigned
- Sep 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT 003012 | OH | Primary |
Addresses
Primary practice location
5200 Aldine Dr
Blue Ash, OH 45242-6214
Mailing address
6144 Grand Vista Ave
Cincinnati, OH 45213-1720
Phone (513) 641-9357
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 |
|---|---|---|---|
| OT 003012 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1801299235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6144 GRAND VISTA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452131720",
"telephone_number": "513-641-9357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 ALDINE DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452426214",
"telephone_number": "513-686-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANZ",
"first_name": "MARY",
"middle_name": "SARA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT 003012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.