Sarah Niederbuhl, P.T., D.P.T., O.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1899 Issued in WY

Practice address

120 W Pearl Ave
Jackson, WY 83001-8657

Phone

(307) 734-9129

NPI assigned

Jun 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sarah Peterson LCSW LLC

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  • NPI 1316503105
  NPD
• Paulina Peak Family Healthcare Inc

  • Family Nurse Practitioner
  • La Pine, OR
  • NPI 1184784332
  NPD (past)

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1073963286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8857",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830028857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018657",
            "telephone_number": "307-734-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERBUHL",
        "first_name": "SARAH",
        "credential": "P.T., D.P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61738",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4460",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Andrew Nelson, PHD
• New Vision Rehabilitation
• Mickie Newby, LMSW
• Francis William Nicholson, PEER SPECIALIST
• Nicole Rue, Psy.D., LLC
• Sohrob Nimrouzi
• Ninak Inc.
• Andrea G Noakes
• Kelloway Dee Norton, FNP-C
• Emily Kathryn Novak, PCSW

• Physical Therapist in Jackson, WY
• Providers in Jackson, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.