Provider Demographics
NPI:1235502816
Name:PHILLIPS, SARA (MS OTR/L)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9750 NW 33RD STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-509-3776
Mailing Address - Fax:954-827-0308
Practice Address - Street 1:9750 NW 33RD STREET
Practice Address - Street 2:SUITE 209
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-509-3776
Practice Address - Fax:954-827-0308
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 16862225X00000X
FLOT16862225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016079600Medicaid