NPIMap

Organization Active NPI

Sage Physical Therapy & Wellness LLC

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1164196952
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAGE PHYSICAL THERAPY & WELLNESS LLC
Practice address
1101 Opal CT Ste 306
Hagerstown, MD 21740-5941
Phone
(301) 790-3929
Fax
(301) 790-3926
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Sigmon
Title
Interim Cco
Phone
(410) 970-8190

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Physical Therapist 225100000X NU Primary
Hand Occupational Therapist 225XH1200X NU

Addresses

Primary practice location

1101 Opal CT Ste 306
Hagerstown, MD 21740-5941

Mailing address

PO Box 745944
Atlanta, GA 30374-5944
Phone (410) 970-8177

National Provider Directory

National Provider Directory
Tax ID family
Sage Physical Therapy Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1164196952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745944",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745944",
            "telephone_number": "410-970-8177",
            "fax_number": "410-313-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OPAL CT STE 306",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405941",
            "telephone_number": "301-790-3929",
            "fax_number": "301-790-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "SIGMON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "INTERIM CCO",
        "authorized_official_telephone_number": "410-970-8190"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.