Individual provider Active NPI

Sarah Oyeneyin

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1245843531
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25179 Issued in MA
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

Updated by the provider on Dec 16, 2024

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 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

TypeEndpointUseAffiliation
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, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 39 clinicians

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

LicenseStateTypeSpecialty
25179MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT NC LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Saylor Physical Therapy Huntersville LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Paddy Jarit LLC CurrentSince Jul 3, 2022 Accepting new patients
Healing Hands Pelvic Health and Wellness LLC Physical Therapist CurrentSince Jun 23, 2024 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.

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.

Verify at the official NPI Registry.