Sarah Nicole Wisniewski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1322337 Issued in TX

Practice address

320 Custer Rd
Richardson, TX 75080-5623

Phone

(972) 490-9055

Fax

(972) 490-9058

NPI assigned

Sep 14, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Warren Center, Inc

  • Multi-Specialty Clinic/Center
  • Richardson, TX
  • NPI 1538214200
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1316617103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1322337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas P Winkler, M.D.
• Paige Winters
• Geoffrey A Wiss, M.D.
• Lindsey Rebecca Witte
• WKM Healthcare Inc.
• Shawna Lauren Wolf, OT
• Burock Negussie Wolkeba

• Physical Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.