Active NPI
Sarah Margaret Clark, P.T.
- Physical Therapist
- Boothwyn, PA
National Provider Identifier
1215059175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013184L
- Practice address
- 1194 Naanans Creek Rd
Boothwyn, PA 19061 - Phone
- (610) 558-7840
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013184L | Primary |
Addresses
Primary practice location
1194 Naanans Creek Rd
Boothwyn, PA 19061
Mailing address
20 Saint Albans Ave Apt a
Newtown SQ, PA 19073-3614
Phone (610) 353-6106
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Physical Therapy and Wellness | Current | Accepting new patients | |
| Fox Rehabilitation Services Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Wilmington, DE
- NPI 1538857404
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215059175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SAINT ALBANS AVE APT A",
"city": "NEWTOWN SQ",
"state": "PA",
"postal_code": "190733614",
"telephone_number": "610-353-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 NAANANS CREEK RD",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "19061",
"telephone_number": "610-558-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SARAH",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT013184L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boothwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.