Sarah Nichole Perry, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Cumberland, RI

NPI 1992980163 · NPPES record last updated Jan 7, 2008

Key facts

NPI
1992980163
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA00382 (RI)
Practice address
12 Hines Rd
Cumberland, RI 02864-6166
Phone
(401) 335-3637
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA00382RIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA00382 RI Yes

Addresses

Primary practice location

12 Hines Rd
Cumberland, RI 02864-6166

Mailing address

12 Hines Rd
Cumberland, RI 02864-6166
Phone (401) 335-3637

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2008.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1992980163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HINES RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646166",
            "telephone_number": "401-335-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HINES RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646166",
            "telephone_number": "401-335-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SARAH",
        "middle_name": "NICHOLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

All providers in Cumberland, RI · Occupational Therapy Assistant in Rhode Island

Sources for this page

Verify at the official NPI Registry.