Active NPI
Sarah Diane Brandt, DPT
- Physical Therapist
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2011019592
- Practice address
- 2130 Hickory Dr
Chesterfield, MO 63005-4552 - Phone
- (314) 814-1887
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 2011019592 | MO | Primary |
Addresses
Primary practice location
2130 Hickory Dr
Chesterfield, MO 63005-4552
Mailing address
2130 Hickory Dr
Chesterfield, MO 63005-4552
Phone (314) 814-1887
Other names 1
- Sarah Diane Blackburn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1051 Kent St
Liberty, MO 64068-2257
Phone (816) 370-5242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011019592 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
Locations
16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942
15950 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-2748
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
12563 Village Circle Dr
Saint Louis, MO 63127
Phone (314) 270-7700
251 Plaza Dr
Wildwood, MO 63040
Phone (636) 271-5419
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Saint Charles, MO
- NPI 1417479494
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
Physical Therapist
-
- Physical Therapist
- Washington, MO
- NPI 1407487366
-
- Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1558932327
Physical Therapist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1144564154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 HICKORY DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630054552",
"telephone_number": "314-814-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 HICKORY DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630054552",
"telephone_number": "314-814-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "SARAH",
"middle_name": "DIANE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2011019592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "BLACKBURN",
"middle_name": "DIANE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 19, 2023; 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.