Active NPI
Sara Constable, OTR/L
- Occupational Therapist
- Painted Post, NY
National Provider Identifier
1962098897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015387-1
- Practice address
- 101 Creekside Drive
Painted Post, NY 14870 - Phone
- (607) 926-4108
- NPI assigned
- Dec 15, 2020
- Last updated
- Dec 15, 2020
- 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 Therapist | 225X00000X | 015387-1 | NY | Primary |
Addresses
Primary practice location
101 Creekside Drive
Painted Post, NY 14870
Mailing address
2216 Scott Road
Lindley, NY 14858
Phone (607) 425-5431
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 |
|---|---|---|---|
| 015387-1 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1962098897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 SCOTT ROAD",
"city": "LINDLEY",
"state": "NY",
"postal_code": "14858",
"telephone_number": "607-425-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CREEKSIDE DRIVE",
"city": "PAINTED POST",
"state": "NY",
"postal_code": "14870",
"telephone_number": "607-926-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTABLE",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015387-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painted Post, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.