Individual provider Active NPI

Sarah Diane Brandt, DPT

  • Physical Therapist
  • Chesterfield, MO
National Provider Identifier
1144564154
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2011019592 Issued in MO
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

Updated by the provider on Apr 19, 2023

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106002988 MO Practitioner - Physical Therapist in Private Practice 7517370778 Reassigns benefits to 3 organizations

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
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians

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

LicenseStateTypeSpecialty
2011019592MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Dec 31, 2020 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 24, 2023 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Dec 31, 2020 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Sep 1, 2024 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Jan 24, 2023 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.

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.

Verify at the official NPI Registry.