Active NPI
Sarah E Gardner, PT, DPT
- Physical Therapist
- Elizabethtown, NY
National Provider Identifier
1285905141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033984
- Practice address
- 75 Park Street
Elizabethtown, NY 12932-2300 - Phone
- (518) 873-6377
- Fax
- (518) 873-3097
- NPI assigned
- Jan 24, 2012
- Last updated
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 033984 | NY | Primary |
Addresses
Primary practice location
75 Park Street
Elizabethtown, NY 12932-2300
Mailing address
PO Box 277
Elizabethtown, NY 12932-0277
Phone (518) 873-6377
Other practice location 1
101 Adirondack Dr Ste 1
Ticonderoga, NY 12883-9334
Phone (518) 585-2831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04206319 | Medicaid | NY |
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 |
|---|---|---|---|
| 033984 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Medical Center at Ithaca | Past | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Past | Accepting new patients | |
| Cayuga Medical Center | Past | Accepting new patients | |
| Associates in Radiology of Plattsburgh Ny PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1588617625
-
- Rural Acute Care Hospital
- Ithaca, NY
- NPI 1477877876
-
dba Cayuga Medical Center
- General Acute Care Hospital
- Ithaca, NY
- NPI 1164547303
-
- General Acute Care Hospital
- Albany, NY
- NPI 1467935429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1285905141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "129320277",
"telephone_number": "518-873-6377",
"fax_number": "518-873-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PARK STREET",
"city": "ELIZABETHTOWN",
"state": "NY",
"postal_code": "129322300",
"telephone_number": "518-873-6377",
"fax_number": "518-873-3097"
}
],
"practiceLocations": [
{
"address_1": "101 Adirondack Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Ticonderoga",
"state": "NY",
"postal_code": "128839334",
"country_code": "US",
"telephone_number": "518-585-2831",
"fax_number": "518-585-3703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "SARAH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2023-02-17",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04206319",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.