Sarah Blanchard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015879 Issued in GA

Practice address

2012 Harobi Dr Ste a
Tucker, GA 30084-5161

Phone

(770) 892-6878

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• On Target Pediatric Therapy LLC

  • Rehabilitation Clinic/Center
  • Tucker, GA
  • NPI 1336529775
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1083353312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SUMMIT CLUB DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684036",
            "telephone_number": "404-717-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HAROBI DR STE A",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845161",
            "telephone_number": "770-892-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Bivens, M.D.
• Alison Diane Bizarroque, FNP-C
• Rodney B Black, OT
• Lynette Eudora Blackman
• James Blair
• Erica L. Bland, MS, CCC-SLP
• Bliss Family Medicine LLC
• Kianna Bloomfield, DMD
• Blossom Works Therapy LLC
• Blue Ridge Nutrition Services, Inc.

• Physical Therapist in Tucker, GA
• Providers in Tucker, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.