JOHANNA GLEN SPARKS OT
NPI 1508015611
Occupational Therapist in Ithaca, NY

Active since September 12, 2008
1592 MECKLENBURG RD, ITHACA, NY 14850(607) 592-3209 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johanna Glen Sparks Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA GLEN SPARKS OT (NPI 1508015611) is an individual occupational therapist in Ithaca, New York, licensed in New York (001684-1) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1508015611
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJOHANNA GLEN SPARKSCredential: OT
Location Address1592 MECKLENBURG RDIthaca, NY 14850-9243
Mailing Address1592 Mecklenburg RdIthaca, NY 14850-9243 · (607) 592-3209
Sole ProprietorNo
Enumeration DateSeptember 12, 2008
NPI 1508015611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NY · 001684-1
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1592 MECKLENBURG RD, Ithaca, NY 14850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Sparks's NPI number?

The NPI number for Johanna Sparks is 1508015611. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Johanna Sparks located?

Johanna Sparks practices at 1592 Mecklenburg Rd, Ithaca, NY 14850. The listed phone number is (607) 592-3209.

What is Johanna Sparks's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Johanna Sparks was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.