Individual provider Active NPI

Sara Pollard

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1205497872
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1106160 Issued in KS
Practice address
5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534
Phone
(913) 224-2990
Fax
(913) 224-2992
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2019022349 MO
Physical Therapist 225100000X 1106160 KS Primary

Addresses

Primary practice location

5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534

Mailing address

5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534
Phone (913) 224-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403000962 KS Practitioner - Physical Therapist in Private Practice 7315273075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1106160KSMDPhysical Therapist
2019022349MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower PTP Lenexa Physical Therapist CurrentSince Aug 8, 2021 Accepting new patients

Locations

5200 W 94th Ter
Ste 112
Prairie Village, KS 66207
Phone (913) 224-2990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1205497872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W 94TH TER STE 112",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072534",
            "telephone_number": "913-224-2990",
            "fax_number": "913-224-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W 94TH TER STE 112",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072534",
            "telephone_number": "913-224-2990",
            "fax_number": "913-224-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019022349",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.