Active NPI
Sarah Maria Berkenstock, PT, DPT
- Physical Therapist
- Fort Defiance, AZ
National Provider Identifier
1003512070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030861
- Practice address
- N7, Corner of Routes N12
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030861 | PA | Primary |
Addresses
Primary practice location
N7, Corner of Routes N12
Fort Defiance, AZ 86504
Mailing address
370 Pepper Rd
Huntingdon Valley, PA 19006-6748
Phone (215) 808-3929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030861 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Cape Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
3806 Bayshore Rd
Ste 103
North Cape May, NJ 08204
Phone (609) 536-4995
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1144584947
Physical Therapist
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1003512070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 PEPPER RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066748",
"telephone_number": "215-808-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N7, CORNER OF ROUTES N12",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKENSTOCK",
"first_name": "SARAH MARIA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "030861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.