Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna Glen Sparks, OT

Individual provider Occupational Therapist · NPI 1508015611

Johanna Glen Sparks, OT is an Occupational Therapist in Ithaca, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1592 Mecklenburg Rd
Ithaca, NY 14850-9243
Phone: (607) 592-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 001684-1 (NY)

Record details

NPI number1508015611
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESSeptember 12, 2008

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