Provider Demographics
NPI:1013393230
Name:BASTYS, SARA (MHA, MS, OTR/L)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BASTYS
Suffix:
Gender:F
Credentials:MHA, MS, OTR/L
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:BELYEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:345 FIVE FORKS RD
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-6806
Mailing Address - Country:US
Mailing Address - Phone:864-412-2772
Mailing Address - Fax:
Practice Address - Street 1:345 FIVE FORKS RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-6806
Practice Address - Country:US
Practice Address - Phone:864-412-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 17139225X00000X
SC7331225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist