Provider Demographics
NPI:1114177185
Name:ELKINGTON, SARAH (OTR, CNT, CIMI)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ELKINGTON
Suffix:
Gender:F
Credentials:OTR, CNT, CIMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 RUSSETT LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7127
Mailing Address - Country:US
Mailing Address - Phone:573-218-4002
Mailing Address - Fax:
Practice Address - Street 1:159 EXECUTIVE DR STE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4160
Practice Address - Country:US
Practice Address - Phone:573-218-4002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119008794225XP0200X
MO2002027792225X00000X
TX116270225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics