Active NPI
Kaile Sager
- Physical Therapy Assistant
- Moyock, NC
National Provider Identifier
1114646452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306604859
- Practice address
- 116 Parrish Point LN
Moyock, NC 27958-9091 - Phone
- (518) 332-4083
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306604859 | VA | Primary |
Addresses
Primary practice location
116 Parrish Point LN
Moyock, NC 27958-9091
Mailing address
116 Parrish Point LN
Moyock, NC 27958-9091
Phone (518) 332-4083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306604859 | VA | MD | Physical Therapy Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1114646452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PARRISH POINT LN",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589091",
"telephone_number": "518-332-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PARRISH POINT LN",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589091",
"telephone_number": "518-332-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGER",
"first_name": "KAILE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306604859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moyock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.