Individual provider Active NPI

Sally Sargent, PT

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1053652107
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9245 Issued in NC
Practice address
11312 US 15 501 N
Suite 403
Chapel Hill, NC 27517-6375
Phone
(919) 933-1110
Fax
(919) 933-1150
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P9245 NC Primary

Addresses

Primary practice location

11312 US 15 501 N
Suite 403
Chapel Hill, NC 27517-6375

Mailing address

11312 US 15 501 N
Suite 403
Chapel Hill, NC 27517-6375
Phone (919) 933-1110

Other names 1

  • Sally Kendrew Former name

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

State licenses

LicenseStateTypeSpecialty
P9245NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds & Associates Physical Therapy, Inc. Physical Therapist PastSince Mar 1, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1053652107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 US 15 501 N",
            "address_2": "SUITE 403",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176375",
            "telephone_number": "919-933-1110",
            "fax_number": "919-933-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US 15 501 N",
            "address_2": "SUITE 403",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176375",
            "telephone_number": "919-933-1110",
            "fax_number": "919-933-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "SALLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "KENDREW",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.