Sara Elizabeth Prokup, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14101 Issued in NC

Practice address

8838 US Highway 70 W
Suite 300
Clayton, NC 27520-4822

Phone

(919) 585-4110

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Access Physical Therapy & Wellness, Inc

  • Physical Therapist
  • Clayton, NC
  • NPI 1881630358
  NPD

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1336582105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ABINGTON CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580069",
            "telephone_number": "815-404-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8838 US HIGHWAY 70 W",
            "address_2": "SUITE 300",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204822",
            "telephone_number": "919-585-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKUP",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Legacy Rehabilitation Services, PLLC
• Private Diagnostic Clinic, PLLC (University Orthopaedics and Sports Medicine of Clayton)
• Private Diagnostic Clinic, PLLC
• Courtney Privette, COTAL
• Progressive Speech Solutions, PLLC
• Deborah Marisa Prouse, PA-C, ATC
• Haleigh Elizabeth Prysock, PA-C
• Psychological Mobile Services
• Publix North Carolina, LP (Publix Pharmacy 1727)
• Adrienne Dashawn Pulley

• Physical Therapist in Clayton, NC
• Providers in Clayton, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.