Individual provider Active NPI

Sarah Kosik

  • Physical Therapist
  • Blacksburg, VA
National Provider Identifier
1053950782
Registry record updated Dec 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213011 Issued in VA
Practice address
2387 Warm Hearth Dr
Blacksburg, VA 24060-6281
Phone
(540) 443-3437
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2019

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 2305213011 VA Primary

Addresses

Primary practice location

2387 Warm Hearth Dr
Blacksburg, VA 24060-6281

Mailing address

911 Canyon Ridge Rd Apt 205
Blacksburg, VA 24060-1344
Phone (570) 905-1314

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213011VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Physical Therapy LP Physical Therapist CurrentSince Dec 18, 2022 Accepting new patients

Locations

182 Butler St
Wilkes Barre, PA 18702
Phone (570) 970-0402

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577491200000",
    "number": "1053950782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CANYON RIDGE RD APT 205",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240601344",
            "telephone_number": "570-905-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 WARM HEARTH DR",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606281",
            "telephone_number": "540-443-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.