Provider Demographics
NPI:1316212863
Name:PRUSMACK, SARAH (OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PRUSMACK
Suffix:
Gender:
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5007 N 105TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-2408
Mailing Address - Country:US
Mailing Address - Phone:402-201-7954
Mailing Address - Fax:
Practice Address - Street 1:5007 N 105TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-2408
Practice Address - Country:US
Practice Address - Phone:402-201-7954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01711225X00000X
NE1174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist