Individual provider Active NPI

Sarah Katherine Holmgren, PT, DPT

  • Orthopedic Physical Therapist
  • Oxnard, CA
National Provider Identifier
1306306758
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0016190 Issued in CO
Practice address
2221 Wankel Way
Oxnard, CA 93030-0192
Phone
(805) 988-0448
Fax
(805) 988-3070
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0016190 CO Primary

Addresses

Primary practice location

2221 Wankel Way
Oxnard, CA 93030-0192

Mailing address

5720 Ralston St Ste 200
Ventura, CA 93003-7844
Phone (805) 804-4168

Other identifiers 2

IdentifierTypeStateIssuer
PTL.0016190OtherCOSTATE LICENSE
300429OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719003372 CA Practitioner - Physical Therapist in Private Practice 5991108631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians
Williams Physical Therapy, IncGroup PAC ID 0446424345, 3 clinicians

Practice addresses (Care Compare)

721 W Channel Islands Blvd
Port Hueneme, CA 93041-2130
Phone (805) 250-7505

970 Petit Ave
Suite a
Ventura, CA 93004-2215
Phone (805) 672-2801

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016190COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Second Wave Physical Therapy Inc. Orthopedic CurrentSince Jan 13, 2025 Accepting new patients
Peak Physical Therapy at Highlands Ranch Orthopedic Past Accepting new patients
Peak Physical Therapy at Highlands Ranch PastSince Dec 22, 2020 Accepting new patients

Locations

552 Sespe Ave
Fillmore, CA 93015
Phone (805) 242-4575

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

801 S Victoria Ave
Ventura, CA 93003
Phone (805) 250-7505

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1306306758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 WANKEL WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300192",
            "telephone_number": "805-988-0448",
            "fax_number": "805-988-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMGREN",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0016190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PTL.0016190",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "300429",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "2221 Wankel Way",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930300192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.