Individual provider Active NPI

Sara Lynn Donker, LPTA

  • Physical Therapy Assistant
  • Clarksville, TN
National Provider Identifier
1083753891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3592 Issued in TN
Practice address
1808 Haynes St
Clarksville, TN 37043-4547
Phone
(931) 906-4170
Fax
(931) 906-4173
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3592 TN Primary
Physical Therapy Assistant 225200000X 06002888A IN

Addresses

Primary practice location

1808 Haynes St
Clarksville, TN 37043-4547

Mailing address

3226 S Senseney Cir
Clarksville, TN 37042-4652
Phone (931) 906-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3592TNMDChiropractor
06002888AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Past Accepting new patients

Organizations & group practices 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083753891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 S SENSENEY CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424652",
            "telephone_number": "931-906-4170",
            "fax_number": "931-906-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-906-4170",
            "fax_number": "931-906-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKER",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3592",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002888A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.