MEDICARE: SARAH SMALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	101509	TX
2	225X00000X	Occupational Therapist	2025-0204	NM

General Provider Information

NPI Number	:	1427423425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SMALLEY

Provider Business Mailing Address
First Line	:	905 E LOS EBANOS BLVD STE C
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8720
Country	:	US
Telephone Number	:	956-455-1869
Fax Number	:	956-544-2569

Provider Business Practice Location Address
First Line	:	905 E LOS EBANOS BLVD STE C
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8720
Country	:	US
Telephone Number	:	956-455-1869
Fax Number	:	956-544-2569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	12/15/2025

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Directions to “ SARAH SMALLEY ” Practice Location

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