Individual provider Active NPI

Sarah Eileen Brown, DPT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1093040305
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5222 Issued in IA
Practice address
5921 SE 14TH St
Ste 2000
Des Moines, IA 50320-1746
Phone
(515) 953-0024
NPI assigned
Oct 5, 2009
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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 5222 IA Primary

Addresses

Primary practice location

5921 SE 14TH St
Ste 2000
Des Moines, IA 50320-1746

Mailing address

2201 Meadow LN
West Des Moines, IA 50265-4126
Phone (515) 707-0466

Other identifiers 2

IdentifierTypeStateIssuer
11415OtherCOPT STATE LICENSE NUMBER
5222OtherIAPT LICENSE

Other names 1

  • Sarah Eileen Gross Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000228 IA Practitioner - Physical Therapist in Private Practice 3779757356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Chiropractic and Rehabilitation Center PLLCGroup PAC ID 2769625144, 3 clinicians

Practice addresses (Care Compare)

900 42ND St
Des Moines, IA 50312-2616
Phone (515) 421-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5222IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Chiropractic and Rehabilitation Center, PLLC Physical Therapist CurrentSince Mar 8, 2022 Accepting new patients

Locations

900 42nd St
Des Moines, IA 50312
Phone (515) 421-4018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1093040305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MEADOW LN",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654126",
            "telephone_number": "515-707-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST",
            "address_2": "STE 2000",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201746",
            "telephone_number": "515-953-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARAH",
        "middle_name": "EILEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT STATE LICENSE NUMBER",
            "identifier": "11415",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "5222",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GROSS",
            "middle_name": "EILEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.