Sarah Pack Grupe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111927 Issued in MO

Practice address

3220 W 16TH Street
Sedalia, MO 65301

Phone

(660) 827-6800

Fax

(660) 827-6810

NPI assigned

Jan 9, 2007

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

• Sarah Jane Pack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• BDM Associates LLC

  • Physical Therapist
  • Columbia, MO
  • NPI 1801847033
  NPD (past)
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313
  NPD (past)
• Westside Rehab, Inc

  • Physical Therapy Clinic/Center
  • Laurie, MO
  • NPI 1689768855
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1184773418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W 16TH STREET",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "65301",
            "telephone_number": "660-827-6800",
            "fax_number": "660-827-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPE",
        "first_name": "SARAH",
        "middle_name": "PACK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "111927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PACK",
            "middle_name": "JANE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley D Gieschen
• Stephanie Lynn Gilgour
• Risa Gillaspie
• Deedee Gilmore, FNP
• Joy S. Gronstedt, D.O.
• Bonnie Sue Guier, LCSW
• Rebecca Gunn-Chronister, LPC
• Grace K Gunn, LMSW
• GW Spencer, DDS, PC
• Hayden Douglas Hackman, DO

• All providers in Sedalia, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.