Basic Information
Provider Information
NPI: 1356811368
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARNEY
FirstName: SARAH
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MOT, OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11453 S CARBONDALE ST
Address2:  
City: OLATHE
State: KS
PostalCode: 660614515
CountryCode: US
TelephoneNumber: 9139808176
FaxNumber:  
Practice Location
Address1: 7000 W 121ST ST STE 110
Address2:  
City: LEAWOOD
State: KS
PostalCode: 662092011
CountryCode: US
TelephoneNumber: 9139122174
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/03/2018
LastUpdateDate: 12/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X17-02203KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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