Active NPI
Sarah Oyeneyin
- Physical Therapist
- Huntersville, NC
National Provider Identifier
1245843531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25179
- Practice address
- 13620 Reese Blvd E
Huntersville, NC 28078-6417 - Phone
- (410) 412-4147
- NPI assigned
- Aug 26, 2020
- 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 | 25179 | MA | Primary |
Addresses
Primary practice location
13620 Reese Blvd E
Huntersville, NC 28078-6417
Mailing address
6020 Turtle TRL
Charlotte, NC 28262-1993
Phone (410) 412-4147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT NC LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210716002388 | CT | Practitioner - Physical Therapist in Private Practice | 3678975323 | |
| I20240405001527 | NC | Practitioner - Physical Therapist in Private Practice | 3678975323 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehab PT NC LLC
Practice addresses (Care Compare)
4101 Glenloch Cir
Matthews, NC 28105-6636
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25179 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT NC LLC | Physical Therapist | Current | Accepting new patients |
| Saylor Physical Therapy Huntersville LLC | Physical Therapist | Current | Accepting new patients |
| Paddy Jarit LLC | Current | Accepting new patients | |
| Healing Hands Pelvic Health and Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
13620 Reese Blvd E
Ste 130
Huntersville, NC 28078
Phone (704) 274-5795
2008 Moore Rd
Matthews, NC 28105
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Huntersville, NC
- NPI 1235845967
NC, Physical Therapist
-
- Physical Therapist
- Charlotte, NC
- NPI 1386487288
-
- Orthopedic Physical Therapist
- Trumbull, CT
- NPI 1619609427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1245843531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 TURTLE TRL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621993",
"telephone_number": "410-412-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 REESE BLVD E",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786417",
"telephone_number": "410-412-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYENEYIN",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25179",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT NC LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2008 Moore Rd",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281054978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.