Individual provider Active NPI

Sara Amber Long, OT

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1881151041
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016180 Issued in PA
Practice address
450 Powers Ave
Harrisburg, PA 17109-5933
Phone
(717) 920-4950
Fax
(717) 920-4955
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC016180 PA Primary

Addresses

Primary practice location

450 Powers Ave
Harrisburg, PA 17109-5933

Mailing address

5300 Derry St FL 2
Harrisburg, PA 17111-3576
Phone (717) 839-2110

Other names 1

  • Sara Ulrich Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000040 PA Practitioner - Occupational Therapist in Private Practice 9931449386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drayer Physical Therapy Institute LLCGroup PAC ID 8224948666, 213 clinicians

Practice addresses (Care Compare)

192 Newberry Pkwy
Etters, PA 17319-8968
Phone (717) 212-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC016180PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Occupational Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Jun 10, 2024 Accepting new patients
Orthopedic Surgeons LTD Occupational Therapist Current Accepting new patients
Orthopedic Surgeons LTD Occupational Therapist CurrentSince Feb 22, 2019 Accepting new patients
Orthopedic Surgeons, LTD CurrentSince Feb 22, 2019 Accepting new patients
Drayer Physical Therapy Institute LLC Occupational Therapist CurrentSince Jun 10, 2024 Accepting new patients
Orthopedic Surgeons LTD Occupational Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

432 Gateway Ave
Chambersburg, PA 17201
Phone (717) 446-0055

120 N Baltimore St
#110
Dillsburg, PA 17019
Phone (717) 501-3100

192 Newberry Pkwy
Etters, PA 17319
Phone (717) 212-2470

125 S Antrim Way
Ste 103
Greencastle, PA 17225

5300 Derry St
Fl 2
Harrisburg, PA 17111

450 Powers Ave
Lowr
Harrisburg, PA 17109
Phone (717) 920-4950

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

Organizations & group practices 7

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1881151041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 DERRY ST FL 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113576",
            "telephone_number": "717-839-2110",
            "fax_number": "717-565-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 POWERS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095933",
            "telephone_number": "717-920-4950",
            "fax_number": "717-920-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SARA",
        "middle_name": "AMBER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ULRICH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.