Individual provider Active NPI

Sandra L Mehrer, LPT

  • Physical Therapist
  • Boone, NC
National Provider Identifier
1003087602
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4297 Issued in NC
Practice address
638 George Wilson Rd
Boone, NC 28607-8613
Phone
(828) 265-0309
NPI assigned
Mar 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4297 NC Primary

Addresses

Primary practice location

638 George Wilson Rd
Boone, NC 28607-8613

Mailing address

3909 Summer Brook Dr
Apex, NC 27539-5704
Phone (919) 372-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4297NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Therapy Services Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206144000000",
    "number": "1003087602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 SUMMER BROOK DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275395704",
            "telephone_number": "919-372-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 GEORGE WILSON RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078613",
            "telephone_number": "828-265-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRER",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.