Active NPI
Susan Patricia Sabo, COTA
- Occupational Therapy Assistant
- Portland, ME
National Provider Identifier
1932365467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OA2019
- Practice address
- 1133 Washington Ave
Portland, ME 04103-3629 - Phone
- (207) 797-0600
- Fax
- (207) 797-8659
- NPI assigned
- Aug 4, 2008
- 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 Therapy Assistant | 224Z00000X | OA2019 | ME | Primary |
Addresses
Primary practice location
1133 Washington Ave
Portland, ME 04103-3629
Mailing address
1133 Washington Ave
Portland, ME 04103-3629
Phone (207) 797-0600
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 |
|---|---|---|---|
| OA2019 | ME | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1932365467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033629",
"telephone_number": "207-797-0600",
"fax_number": "207-797-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WASHINGTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033629",
"telephone_number": "207-797-0600",
"fax_number": "207-797-8659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "SUSAN",
"middle_name": "PATRICIA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "OA2019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.