Individual provider Active NPI

Sarah Bauer

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1356118558
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305074 Issued in CA
Practice address
3737 Moraga Ave
San Diego, CA 92117-5404
Phone
(858) 270-0981
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 305074 CA Primary

Addresses

Primary practice location

3737 Moraga Ave
San Diego, CA 92117-5404

Mailing address

1882 Erie St
San Diego, CA 92110-3509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417001846 CA Practitioner - Physical Therapist in Private Practice 8921447459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3737 Moraga Ave
Suite B117
San Diego, CA 92117-5358
Phone (858) 270-0981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305074CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Mar 5, 2024 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist Past Accepting new patients

Locations

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

1 Civic Center Dr
Ste 360
San Marcos, CA 92069
Phone (760) 653-2429

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1356118558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 ERIE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-270-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.