Healthcare Provider Details

I. General information

NPI: 1649950445
Provider Name (Legal Business Name): SARAH COMMONS OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 REDBRIDGE LN
APEX NC
27502-2495
US

IV. Provider business mailing address

2320 REDBRIDGE LN
APEX NC
27502-2495
US

V. Phone/Fax

Practice location:
  • Phone: 919-925-4922
  • Fax:
Mailing address:
  • Phone: 919-925-4922
  • Fax: 919-925-4923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119010020
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18441
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: