Active NPI
Sarah W Dible, MSPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1154649192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7729
- Practice address
- 300 E 24TH St
Vancouver, WA 98663-3214 - Phone
- (360) 798-7625
- Fax
- (360) 553-4165
- NPI assigned
- May 14, 2010
- 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 | 7729 | WA | Primary |
Addresses
Primary practice location
300 E 24TH St
Vancouver, WA 98663-3214
Mailing address
14504 NW 20TH Ave
Vancouver, WA 98685-8006
Phone (360) 601-7485
Other names 1
- Miss Sarah R. Wecker
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 |
|---|---|---|---|
| 7729 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuvenance Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Vancouver, WA
- NPI 1306165832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1154649192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14504 NW 20TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986858006",
"telephone_number": "360-601-7485",
"fax_number": "503-597-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 24TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633214",
"telephone_number": "360-798-7625",
"fax_number": "360-553-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBLE",
"first_name": "SARAH",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-14",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "7729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "WECKER",
"middle_name": "R.",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.