Individual provider Active NPI

Sarah Ann Willis, PT

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1104050715
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008019458 Issued in MO
Practice address
14450 S Outer 40
Chesterfield, MO 63017-5711
Phone
(314) 434-6060
Fax
(314) 434-6066
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 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 2008019458 MO Primary

Addresses

Primary practice location

14450 S Outer 40
Chesterfield, MO 63017-5711

Mailing address

14450 S Outer 40
Chesterfield, MO 63017-5711
Phone (314) 434-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090528000369 MO Practitioner - Physical Therapist in Private Practice 8224187943 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

221 Spencer Rd
Suite D
Saint Peters, MO 63376-2438
Phone (636) 477-9911

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008019458MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jul 8, 2022 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Jun 8, 2009 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 8, 2022 Accepting new patients
Atr Tony LLC Physical Therapist CurrentSince Feb 12, 2018 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

221 Spencer Rd
Ste D
Saint Peters, MO 63376
Phone (636) 447-9911

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

14450 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 434-6060

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

1229 Wentzville Pkwy
Ste 209
Wentzville, MO 63385
Phone (636) 730-1118

Interoperability endpoints

  • Direct secure messaging: sarah.willis.p2@direct.athleticoltd.nextgenshare.com

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1104050715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175711",
            "telephone_number": "314-434-6060",
            "fax_number": "314-434-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008019458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.