Organization Active NPI

Sara J. Manwiller, Inc

Doing business as Jointworx Physical Therapy

  • Physical Therapist
  • Edwards, CO
National Provider Identifier
1063596393
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SARA J. MANWILLER, INC
Doing business as
Jointworx Physical Therapy
Practice address
1140 Edwards Vill Blvd
B208
Edwards, CO 81632-4828
Phone
(970) 569-3883
Fax
(970) 569-3884
NPI assigned
Oct 24, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Ms. Sara Jill Manwiller, PTNPI 1518041847
Title
Owner
Phone
(970) 569-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1140 Edwards Vill Blvd
B208
Edwards, CO 81632-4828

Mailing address

PO Box 4828
Edwards, CO 81632-4828
Phone (970) 569-3883

Other names 1

  • Jointworx Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528001256 CO Part B Supplier - Clinic/Group Practice 1052392529 Receives reassigned benefits from 5 practitioners
Practice locations: Avon, CO; Edwards, CO

National Provider Directory

National Provider Directory

Locations

1031 S Frontage Rd W
#4
Vail, CO 81657
Phone (970) 479-6262

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1063596393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4828",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816324828",
            "telephone_number": "970-569-3883",
            "fax_number": "970-569-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILL BLVD",
            "address_2": "B208",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816324828",
            "telephone_number": "970-569-3883",
            "fax_number": "970-569-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA J. MANWILLER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MANWILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-569-3883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jointworx Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jointworx Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.