Sara M Ericksen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1360 Issued in MT

Practice address

111 Sunnyview Lane, Ste B
Kalispell, MT 59901-3161

Phone

(406) 407-7990

NPI assigned

Nov 9, 2007

Last updated

Oct 14, 2019By the provider in NPPES

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

Other names 1

• Ms. Sara M Martinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1174703938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LANE, SUITE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-077-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LANE, STE B",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013161",
            "telephone_number": "406-407-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MARTINSON",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anders Engdahl, M.D.
• Kathy Lynn Ensign, OTR/L
• Brittany Mae Mitchell Eppard, NP
• Garrett Clayton Epperson, LCSW
• Shelby Lynn Erdahl, DPT, CSCS
• Brianna Erickson, DPT
• John Erickson, N.P.
• Joshua Erickson, LMT
• Susan Rene' Erickson, LMT
• Todd Erickson, O.D.

• Physical Therapist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.