Healthcare Provider Details

I. General information

NPI: 1083536106
Provider Name (Legal Business Name): SARAH KATE ROSS MT-BC, NMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SMOKING OAKS CV
MAUMELLE AR
72113-6811
US

IV. Provider business mailing address

5 SMOKING OAKS CV
MAUMELLE AR
72113-6811
US

V. Phone/Fax

Practice location:
  • Phone: 312-981-9701
  • Fax:
Mailing address:
  • Phone: 312-981-9701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number5409
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number16302
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: