Individual provider Active NPI

Sarah Marie Isdaner, PT, DPT

  • Physical Therapist
  • Solana Beach, CA
National Provider Identifier
1215480553
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291622 Issued in CA
Practice address
530 Lomas Santa Fe Dr Ste G
Solana Beach, CA 92075-1346
Phone
(858) 755-6024
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 291622 CA Primary

Addresses

Primary practice location

530 Lomas Santa Fe Dr Ste G
Solana Beach, CA 92075-1346

Mailing address

1354 Hornblend St
Apt B
San Diego, CA 92109-9200
Phone (425) 760-2930

Other names 1

  • Dr. Sarah Marie Landerholm Former name

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

OrganizationSpecialtyStatusNew patients
Solana Beach Physical Therapy Physical Therapist CurrentSince Jan 26, 2022 Accepting new patients
Solana Beach Physical Therapy Inc Physical Therapist CurrentSince Sep 14, 2025 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

530 Lomas Santa Fe Dr
Ste G
Solana Beach, CA 92075
Phone (858) 755-6024

Organizations & group practices 3

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1215480553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 HORNBLEND ST",
            "address_2": "APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921099200",
            "telephone_number": "425-760-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LOMAS SANTA FE DR STE G",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751346",
            "telephone_number": "858-755-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISDANER",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "LANDERHOLM",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.