Individual provider Active NPI

Sarah Pedone, DPT, PT, MPH, FDN

  • Physical Therapist
  • Red Lodge, MT
National Provider Identifier
1194419143
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-19342 Issued in MT
Practice address
2525 N Broadway Ave
Red Lodge, MT 59068-9222
Phone
(406) 962-9860
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 PTP-PT-LIC-19342 MT Primary

Addresses

Primary practice location

2525 N Broadway Ave
Red Lodge, MT 59068-9222

Mailing address

PO Box 2402
Red Lodge, MT 59068-2402

Other practice location 1

55 N Montana Ave Ste B
Absarokee, MT 59001-6339
Phone (406) 570-8124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTP-PT-LIC-19342MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Physical Therapy LLC CurrentSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1194419143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2402",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590682402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N BROADWAY AVE",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590689222",
            "telephone_number": "406-962-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 N Montana Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Absarokee",
            "state": "MT",
            "postal_code": "590016339",
            "country_code": "US",
            "telephone_number": "406-570-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDONE",
        "first_name": "SARAH",
        "credential": "DPT, PT, MPH, FDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-19342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lodge, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.