Active NPI
Sally Pooler, PT
- Physical Therapist
- Windsor, CA
National Provider Identifier
1265758338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 17369
- Practice address
- 176 Johnson St
Windsor, CA 95492-7434 - Phone
- (707) 620-0688
- NPI assigned
- Apr 14, 2010
- 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 | PT 17369 | CA | Primary |
Addresses
Primary practice location
176 Johnson St
Windsor, CA 95492-7434
Mailing address
176 Johnson St
Windsor, CA 95492-7434
Phone (707) 620-0688
Other names 1
- Sarah Pooler
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 17369 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1265758338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 JOHNSON ST",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927434",
"telephone_number": "707-620-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 JOHNSON ST",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927434",
"telephone_number": "707-620-0688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLER",
"first_name": "SALLY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 17369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "POOLER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.