Active NPI
Sara Kublin
- Contractor
- Wellington, FL
National Provider Identifier
1154795524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT 25301
- Practice address
- 3778 Old Lighthouse Cir
Wellington, FL 33414-8845 - Phone
- (561) 249-0334
- Fax
- (561) 249-0334
- NPI assigned
- Nov 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT 25301 | FL | Primary |
Addresses
Primary practice location
3778 Old Lighthouse Cir
Wellington, FL 33414-8845
Mailing address
3778 Old Lighthouse Cir
Wellington, FL 33414-8845
Phone (561) 249-0334
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 25301 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448150400000",
"number": "1154795524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3778 OLD LIGHTHOUSE CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148845",
"telephone_number": "561-249-0334",
"fax_number": "561-249-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3778 OLD LIGHTHOUSE CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148845",
"telephone_number": "561-249-0334",
"fax_number": "561-249-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBLIN",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-22",
"last_updated": "2015-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "PT 25301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.