Individual provider Active NPI

Sarah Marie Hare

  • Physical Therapist
  • Palm Springs, CA
National Provider Identifier
1164864088
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40359 Issued in CA
Practice address
552 S Paseo Dorotea Ste 4
Palm Springs, CA 92264-1437
Phone
(760) 325-5950
Fax
(760) 325-5945
NPI assigned
Jul 19, 2013
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40359 CA Primary

Addresses

Primary practice location

552 S Paseo Dorotea Ste 4
Palm Springs, CA 92264-1437

Mailing address

3650 Millers Station Rd
PO Box 97
Manchester, MD 21102-2035
Phone (443) 375-1372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140118000164 CA Practitioner - Physical Therapist in Private Practice 6305074428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.4 of 100Reported as group
Quality
93.75
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40359CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
SD Sports Medicine and Family Health Center CurrentSince Feb 13, 2023 Accepting new patients
Inclusive Pelvic Wellness Physiotherapy PC Physical Therapist Current Accepting new patients
Nifty After Fifty Physical Therapist Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1945 Garnet Ave
San Diego, CA 92109
Phone (858) 224-7977

4010 Morena Blvd
Ste 210
San Diego, CA 92117
Phone (858) 224-7970

6699 Alvarado Rd
Ste 2100
San Diego, CA 92120
Phone (619) 229-3909

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1164864088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MILLERS STATION RD",
            "address_2": "PO BOX 97",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211022035",
            "telephone_number": "443-375-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 S PASEO DOROTEA STE 4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641437",
            "telephone_number": "760-325-5950",
            "fax_number": "760-325-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.