Healthcare Provider Details

I. General information

NPI: 1497424303
Provider Name (Legal Business Name): SARAH THOMAS MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E REDSTONE AVE
CRESTVIEW FL
32539-5385
US

IV. Provider business mailing address

2500 E REDSTONE AVE APT 1108
CRESTVIEW FL
32539-5386
US

V. Phone/Fax

Practice location:
  • Phone: 850-530-0833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number26985
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number21875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: