Individual provider Active NPI

Sarah Jean Powner, PT, DPT, CSCS

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1336815539
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300338 Issued in CA
Practice address
1031 W 34TH St Ste 450
Los Angeles, CA 90089-3603
Phone
(800) 872-2273
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 300338 CA Primary

Addresses

Primary practice location

1031 W 34TH St Ste 450
Los Angeles, CA 90089-3603

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-1200

Other identifiers 1

IdentifierTypeStateIssuer
300338MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002917 CO Practitioner - Physical Therapist in Private Practice 8820495062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Activcore Health Network LLCGroup PAC ID 9830400456, 25 clinicians

Practice addresses (Care Compare)

425 S Cherry St
Suite 600
Denver, CO 80246-1233
Phone 8004558982105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300338CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activcore Health Network LLC Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients

Locations

4350 Limelight Ave
Unit 200
Castle Rock, CO 80109
Phone (303) 805-5156

425 S Cherry St
Ste 900
Denver, CO 80246
Phone 8004558982105

425 S Cherry St
Ste 600
Glendale, CO 80246
Phone (303) 377-7838

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1336815539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W 34TH ST STE 450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900893603",
            "telephone_number": "800-872-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWNER",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300338",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.