Organization Active NPI

Sarah Cordero Physical Therapy Inc

  • Orthopedic Physical Therapist
  • McKinleyville, CA
National Provider Identifier
1174353502
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SARAH CORDERO PHYSICAL THERAPY INC
Practice address
1580 Nursery Rd Ste a
McKinleyville, CA 95519-5814
Phone
(707) 502-2263
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Sarah Cordero, DPTNPI 1609543115
Title
Physical Therapist
Phone
(802) 274-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1580 Nursery Rd Ste a
McKinleyville, CA 95519-5814

Mailing address

2320 23Rd St
Eureka, CA 95501-3231

Other practice location 1

2320 23rd St
Eureka, CA 95501-3231
Phone (707) 502-2263

Other names 1

  • Lost Coast Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2320 23rd St
Eureka, CA 95501
Phone (707) 442-5719

1580 Nursery Rd
Ste A
McKinleyville, CA 95519
Phone (707) 502-2263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1174353502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 NURSERY RD STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955195814",
            "telephone_number": "707-502-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 23rd St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013231",
            "country_code": "US",
            "telephone_number": "707-502-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARAH CORDERO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-274-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lost Coast Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.