Healthcare Provider Details

I. General information

NPI: 1477483162
Provider Name (Legal Business Name): SARAH JANE CASEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 PHEASANT RIDGE RD STE 101
ROANOKE VA
24014-5267
US

IV. Provider business mailing address

4720 SUSSEX CT APT L
ROANOKE VA
24018-2350
US

V. Phone/Fax

Practice location:
  • Phone: 540-200-8412
  • Fax: 540-301-9779
Mailing address:
  • Phone: 540-200-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119010853
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: