Individual provider Active NPI

Sarah M Mars, DPT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1225515471
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60875458 Issued in WA
Practice address
47 Pronghorn TRL
Suite 1
Bozeman, MT 59718-6096
Phone
(406) 585-9044
Fax
(406) 585-9220
NPI assigned
Jul 20, 2018
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 60875458 WA Primary

Addresses

Primary practice location

47 Pronghorn TRL
Suite 1
Bozeman, MT 59718-6096

Mailing address

PO Box 11629
Bozeman, MT 59719-1629
Phone (406) 522-7488

Other names 1

  • Sarah E Mattingly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216001273 MT Practitioner - Physical Therapist in Private Practice 3375892748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

47 Pronghorn TRL
Suite 1
Bozeman, MT 59718-2435
Phone (406) 585-9044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60875458WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc. Physical Therapist Current Accepting new patients
Lone Peak Physical Therapy, Inc. Physical Therapist CurrentSince Oct 5, 2022 Accepting new patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince Oct 5, 2022 Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

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, 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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1225515471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11629",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597191629",
            "telephone_number": "406-522-7488",
            "fax_number": "406-522-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PRONGHORN TRL",
            "address_2": "SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186096",
            "telephone_number": "406-585-9044",
            "fax_number": "406-585-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARS",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60875458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MATTINGLY",
            "middle_name": "E",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.