Active NPI
Mia Sara Sebak
- Athletic Trainer
- Newark, DE
National Provider Identifier
1043120769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 547 South College Ave
Newark, DE 19716 - Phone
- (302) 831-2868
- NPI assigned
- Sep 8, 2026
- Last updated
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
547 South College Ave
Newark, DE 19716
Mailing address
7709 Anderson CT
Manassas, VA 20109-6201
Phone (919) 819-8360
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1043120769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 ANDERSON CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201096201",
"telephone_number": "919-819-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 SOUTH COLLEGE AVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "19716",
"telephone_number": "302-831-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBAK",
"first_name": "MIA",
"middle_name": "SARA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
- Sean P Scott
- Cayla Scrimer, CNS
- Seasons Hospice & Palliative Care of Delaware, LLC (ChristianaCare-AccentCare Hospice & Palliative Care of Delaware)
- Seasons Hospice & Palliative Care of Delaware, LLC
- Seasons Medical Group of Delaware, P.a (AccentCare Medical Group of Delaware)
- Maureen A Seckel, CNS
- Robin Secouler, CRNA
- Bethany Katherine Sederdahl, MD
- Sepehr Sedigh Haghighat, MD
- Alison L Segal, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.