Shirley Fay Sagerty, D.C., C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

01-04237 Issued in KS

Practice address

2434 N Woodlawn Blvd
Ste 170
Wichita, KS 67220-3959

Phone

(316) 683-5490

Fax

(316) 683-0630

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1033218052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN BLVD",
            "address_2": "STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 N WOODLAWN BLVD",
            "address_2": "STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203959",
            "telephone_number": "316-683-5490",
            "fax_number": "316-683-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGERTY",
        "first_name": "SHIRLEY",
        "middle_name": "FAY",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KS",
            "license": "01-04237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Safder
• Safe Space LLC
• Safe Transportation
• Jessica Marie Saferite, RN
• Irma Sage, BC-HIS
• George F. Saghbene, RPH
• Rachelle Saghbene, AG-ACNP
• Debra Saichompoo
• Saint Raphael Direct Care, Inc.
• Saint Raphael Home Care, Inc

• Sports Physician Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Sports Physician Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.