Sara L Shupe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6986 Issued in MN

Practice address

4465 White Bear Pkwy
White Bear Lake, MN 55110-7623

Phone

(651) 653-1350

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Orthopedic and Sports Physical Therapy P a

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1114001377
  Medicare reassignment NPD
• H2 Rehabilitation Services of Florida LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926

  Physical Therapist

  Medicare reassignment NPD
• Burke Collins Therapy, Inc

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1144963737
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1285722421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 9TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286626",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 WHITE BEAR PKWY",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107623",
            "telephone_number": "651-653-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323064300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Now Healing Center, LLC
• Shveta Setia, DDS
• Roopa Sharma, MD
• Sheena Rapkin Therapy PLLC
• Madison Faith Shreffler, PHARMD
• Gracia Ann Sich
• Meaza Angel Silva
• Maria Leora Amaro Simmons, PHARMD
• Simply Chiropractic Center, P.a.
• Kaile Hope Sinclair

• Physical Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.