Individual provider Active NPI

Sarah Ann Burt, DPT

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1316304348
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016075 Issued in MI
Practice address
205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659
Phone
(810) 588-4133
Fax
(810) 588-4124
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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 5501016075 MI Primary

Addresses

Primary practice location

205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659

Mailing address

205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659
Phone (810) 588-4133

Other names 1

  • Sarah Ann Gwizdala Former name

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
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy, PLLC Physical Therapist CurrentSince Jan 11, 2016 Accepting new patients

Locations

205 W Grand River Ave
Brighton, MI 48116
Phone (248) 220-4499

205 W Grand River Ave
Ste 201
Brighton, MI 48116
Phone (810) 588-4133

Organizations & group practices 1

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1316304348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GWIZDALA",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.