Sarah Kathleen Wallington, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41636 Issued in CA

Practice address

3418 Loma Vista Rd
Ventura, CA 93003-3016

Phone

(805) 765-4773

NPI assigned

Sep 15, 2014

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Kathleen Nielsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1003217555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-765-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-765-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLINGTON",
        "first_name": "SARAH",
        "middle_name": "KATHLEEN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "NIELSEN",
            "middle_name": "KATHLEEN",
            "credential": "PT, MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Marie Wallace, RN, PHN, IBCLC
• Eric Wallace, MD
• Jennifer Katherine Wallace, PA-C
• Matt Wallace
• Phoebe Waller, MS, RD
• Anthony Walls, M.D.
• Walmart Inc. (WalMart Pharmacy 10-3650)
• David Geoffrey Walsh, B.PHARM.
• Jacquelyn Rose Walters, LVN
• Jackson Minoru Walthall

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.