Individual provider Active NPI

Sarah Wiswell, PT, DPT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1083350284
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019777 Issued in OH
Practice address
2587 Commons Blvd Ste 120
Beavercreek, OH 45431-3841
Phone
(937) 426-5555
Fax
(937) 426-5556
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 PT019777 OH Primary

Addresses

Primary practice location

2587 Commons Blvd Ste 120
Beavercreek, OH 45431-3841

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961

Other practice location 1

720 Elm St Ste C
Wilmington, OH 45177-2878
Phone (937) 283-2186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000390 OH Practitioner - Physical Therapist in Private Practice 6204213689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019777OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 11, 2024 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Sep 7, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince May 25, 2022 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 11, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

2587 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 426-5555

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

325 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 806-0318

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

720 Elm St
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 5

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1083350284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "fax_number": "513-964-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313841",
            "telephone_number": "937-426-5555",
            "fax_number": "937-426-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Elm St Ste C",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772878",
            "country_code": "US",
            "telephone_number": "937-283-2186",
            "fax_number": "937-283-2187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISWELL",
        "first_name": "SARAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.