Sara Drake

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6330 Riverside Plaza LN NW Ste 150
Albuquerque, NM 87120-1803

Phone

(505) 312-7930

Fax

(505) 717-2818

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bear Lodge Rehabilitation Services, LLC

  • Physical Therapist
  • Sundance, WY
  • NPI 1558690099
  NPD
• Big Country Rehabilitation,LLC

  • Physical Therapist
  • Douglas, WY
  • NPI 1366493264
  NPD
• North Platte Physical Therapy Services, Inc.

  • Physical Therapist
  • Douglas, WY
  • NPI 1093914111
  NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1174239388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201803",
            "telephone_number": "505-312-7930",
            "fax_number": "505-717-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Beers Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148457977",
            "country_code": "US",
            "telephone_number": "607-873-4186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Drake-Feinberg
• Shana Drake-Lavelle, MD
• Cathy L Drake, MD
• Jon Drake, AUD
• Maria Drake
• Stephanie Drake, BCBA
• Gail M Drane, D.O.M.
• Jessica Drane, DNP FNPC AGACNPBC
• Danielle Denise Draper, MD
• Joanne Milisa Drautz, MS

• All providers in Albuquerque, NM
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.