Active NPI
Sarah Elisha Zacour, DPT
- Physical Therapist
- Wooster, OH
National Provider Identifier
1154655173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.012523
- Practice address
- 3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130 - Phone
- (330) 804-9712
- Fax
- (330) 804-9717
- NPI assigned
- Sep 23, 2009
- 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 | PT.012523 | OH | Primary |
Addresses
Primary practice location
3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Mailing address
3373 Commerce Pkwy
Suite 2
Wooster, OH 44691-7130
Phone (330) 804-9712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004242 | Medicaid | OH |
Other names 1
- Sarah Elisha Judy
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 |
|---|---|---|---|
| PT.012523 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ej Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- sjudy@wosmc.medentdirect.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1154655173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3373 COMMERCE PKWY",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917130",
"telephone_number": "330-804-9712",
"fax_number": "330-804-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3373 COMMERCE PKWY",
"address_2": "SUITE 2",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917130",
"telephone_number": "330-804-9712",
"fax_number": "330-804-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACOUR",
"first_name": "SARAH",
"middle_name": "ELISHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.012523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004242",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "JUDY",
"middle_name": "ELISHA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.