Active NPI
Sarah Ingalls, DPT
- Physical Therapist
- Chubbuck, ID
National Provider Identifier
1215365168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3289
- Practice address
- 4425 Burley Dr
Chubbuck, ID 83202-1957 - Phone
- (208) 637-1100
- NPI assigned
- Oct 30, 2013
- Last updated
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3289 | ID | Primary |
| Physical Therapist | 225100000X | 8555982-2401 | UT |
Addresses
Primary practice location
4425 Burley Dr
Chubbuck, ID 83202-1957
Mailing address
1349 E Bridger St
Pocatello, ID 83201-4739
Phone (909) 519-6918
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3289 | ID | MD | Physical Therapist |
| 8555982-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1215365168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 E BRIDGER ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014739",
"telephone_number": "909-519-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 BURLEY DR",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832021957",
"telephone_number": "208-637-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGALLS",
"first_name": "SARAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3289",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8555982-2401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chubbuck, ID
- Idaho Skin Institute LLC
- Idaho State University
- Idaho State University
- Inclusive Care LLC (Inclusive Care Clinic Pharmacy)
- Inclusive Care LLC (Inclusive Care Clinic Pharmacy)
- Adam C Jenseen
- Clint L Jensen, PHARM.D.
- McKayla Jensen, PARAPROFESSIONAL
- Trista Marie Jensen, MPA, BA-SOCIAL WORK
- Austin Job, PARAPROFESSIONAL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.