Active NPI
Sara O'Donnell, DPT
- Physical Therapist
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 115850
- Practice address
- 6101 Northwest Blvd
Davenport, IA 52806-1861 - Phone
- (563) 322-0971
- NPI assigned
- Jul 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 115850 | IA | Primary |
| Physical Therapist | 225100000X | 070026485 | IL |
Addresses
Primary practice location
6101 Northwest Blvd
Davenport, IA 52806-1861
Mailing address
2300 53Rd Ave Ste 100
Bettendorf, IA 52722-7565
Phone (563) 322-0971
Other practice location 1
2300 53rd Ave Ste Ll02
Bettendorf, IA 52722-7565
Phone (563) 449-7000
Other practice location 2
510 Valley View Dr
Moline, IL 61265-6133
Phone (309) 797-0866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070026485 | Other | IL | LICENSE |
| 115850 | Other | IA | LICENSE |
Other names 1
- Sara Hipsman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Valley View Dr
Moline, IL 61265-6133
Phone (309) 762-3621
6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070026485 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics PC | Current | Accepting new patients | |
| Ora Orthopedics, PC | Current | Accepting new patients | |
| Ora Orthopedics, PC | Past | Accepting new patients |
Locations
2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005
2300 53rd Ave
Ste LL02
Bettendorf, IA 52722
Phone (563) 332-4422
2300 53rd Ave
Ste LL04
Bettendorf, IA 52722
1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431
6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004
510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621
520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- De Witt, IA
- NPI 1043281355
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1073248381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 53RD AVE STE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227565",
"telephone_number": "563-322-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 NORTHWEST BLVD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528061861",
"telephone_number": "563-322-0971"
}
],
"practiceLocations": [
{
"address_1": "2300 53rd Ave Ste Ll02",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527227565",
"country_code": "US",
"telephone_number": "563-449-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Valley View Dr",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612656133",
"country_code": "US",
"telephone_number": "309-797-0866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DONNELL",
"first_name": "SARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "115850",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026485",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "070026485",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "115850",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "HIPSMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.