Sara Diehr, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048093 Issued in NY

Practice address

609 N Franklin St
Watkins Glen, NY 14891-1302

Phone

(607) 535-7475

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Intention Internal Medicine, PLLC

  • Internal Medicine Physician
  • Watkins Glen, NY
  • NPI 1134998156
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1093473050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911302",
            "telephone_number": "607-535-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911302",
            "telephone_number": "607-535-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHR",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048093",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04809301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03306241",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://senecaphysicaltherapypc.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "609 N Franklin St",
            "city": "Watkins Glen",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148911302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CVS Albany, L.L.C.
• Pamela Dabich
• Mihai Dascalu, M.D.
• Cori Delgrosso, RPN
• Melissa L Depaolo, LCSW
• Kelly L Dietz
• Paul Thomas Donnelly, M.D.
• Marcia N Douglas, LCSW R
• Wendy Drake
• Ester Edelman, LMSW

• Physical Therapist in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.