Sara Ann Burd, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070020099 Issued in IL

Practice address

1401 E 12TH St
Mendota, IL 61342-9216

Phone

(815) 539-7461

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By 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

• Sara Ann Bernardi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1003502733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KIMBERLY",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621055",
            "telephone_number": "815-878-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 12TH ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429216",
            "telephone_number": "815-539-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURD",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070020099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BERNARDI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gillian Rachel Brown, ATC
• Changes Counseling, LLC
• Neungja Chung, PH.D, M.S.O.M.
• City of Mendota
• Community Health Partnership of Illinois
• Davis Family Health LLC (Davis Family Health LLC/Kelly Ann Tonielli Davis)

• Physical Medicine & Rehabilitation Physician in Mendota, IL
• Providers in Mendota, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.