Active NPI
Sara E Faris, PT
- Physical Therapist
- Lakewood, OH
National Provider Identifier
1154441442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011723
- Practice address
- 12221 Madison Ave
Lakewood, OH 44107-5029 - Phone
- (216) 221-2525
- Fax
- (216) 221-2506
- NPI assigned
- Mar 30, 2007
- 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 | 011723 | OH | Primary |
Addresses
Primary practice location
12221 Madison Ave
Lakewood, OH 44107-5029
Mailing address
9258 Stonebriar LN
North Ridgeville, OH 44039-6427
Phone (440) 327-2081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA4206291 | Other | OH | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011723 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Re Hab Professionals of Cleveland,Inc. | Past | Accepting new patients | |
| Rehab Professionals of Cleveland, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lakewood, OH
- NPI 1659567113
-
- Physical Therapy Clinic/Center
- Cleveland, OH
- NPI 1700072279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1154441442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9258 STONEBRIAR LN",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440396427",
"telephone_number": "440-327-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 MADISON AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075029",
"telephone_number": "216-221-2525",
"fax_number": "216-221-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIS",
"first_name": "SARA",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "HA4206291",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.