Provider Demographics
NPI:1538313580
Name:ASHBY, SARAH ELLEN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELLEN
Last Name:ASHBY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:639 COUNTY ROUTE 22
Mailing Address - City:PARISH
Mailing Address - State:NY
Mailing Address - Zip Code:13131
Mailing Address - Country:US
Mailing Address - Phone:315-625-5270
Mailing Address - Fax:315-625-5296
Practice Address - Street 1:25 UNION STREET
Practice Address - Street 2:
Practice Address - City:PARISH
Practice Address - State:NY
Practice Address - Zip Code:13131
Practice Address - Country:US
Practice Address - Phone:315-625-5270
Practice Address - Fax:315-625-4429
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01374OtherNEW YORK STATE OFFICE OF THE PROFESSIONS