SARAH BANNON – Occupational Therapist, NPI 1174339022

SARAH BANNON is a healthcare provider. based in Cherry hill, New Jersey. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 6405 (CT). The NPI Number for SARAH BANNON is 1174339022

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SARAH BANNON
NPI
1174339022
Phone
(877) 407-3422
Address
7 CARNEGIE PLZ
Enumeration Date
5 December 2024
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2023 (3 years ago)
PAC ID
0648707190
Group Practice PAC ID
1658683123
Professional Enrollment ID
I20241220003397
Address ID
CT064884220SO655XXSXXX400

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

249 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for SARAH BANNON

  • 7 CARNEGIE PLZ

    CHERRY HILL, NJ 080031000

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Mailing

  • 655 MAIN ST S

    SOUTHBURY, CT 064884220

    Phone: (877) 407-3422

    Fax: (877) 407-4329

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241220003397IOccupational Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658683123View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Occupational Therapist In Private PracticeCT
Occupational Therapist In Private PracticeCT
Occupational Therapist In Private PracticeCT
-CT
Occupational Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNJ
-CT
Occupational Therapist In Private PracticeCT
-CT

Reviews

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Frequently asked questions

What is SARAH BANNON's NPI number?
SARAH BANNON's NPI is 1174339022 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SARAH BANNON?
For scheduling context, SARAH BANNON is shown as active in the registry.
How would a patient describe SARAH BANNON's focus?
For SARAH BANNON, the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SARAH BANNON?
Directory geography for SARAH BANNON centers on Cherry Hill, New Jersey.
When was this NPI issued?
Enumeration for SARAH BANNON is noted as December 5, 2024 where the registry provides it.

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