Sabrina Dianne Eder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6286024 Issued in WI

Practice address

7625 S Howell Ave
Oak Creek, WI 53154-2112

Phone

(414) 766-0277

Fax

(414) 766-0299

NPI assigned

Feb 12, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Creek Medical & Occupational L.L.C.

  • Multi-Specialty Clinic/Center
  • Oak Creek, WI
  • NPI 1356414288
  NPD (past)
• Oak Creek Medical & Pccupational, LLC

  • Physical Therapist
  • Oak Creek, WI
  • NPI 1932211141
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1043351851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 S ROLLING MEADOWS CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541677",
            "telephone_number": "414-248-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542112",
            "telephone_number": "414-766-0277",
            "fax_number": "414-766-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "SABRINA",
        "middle_name": "DIANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6286024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36145700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Druml, DC
• Jacqueline Ducksworth
• Brittany Ann Dunnum, OTR/L
• Eastern DME
• Natalie Marie Eddy, M.A.
• Latoya Edwards, APNP
• Omar Eliwa
• Bridget P Elliott, AUD
• Rachel Emerson
• Sydney E Erdmann

• Physical Therapist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.