Individual provider Active NPI

Sara A Macfadden, DPT

  • Physical Therapist
  • Longview, WA
National Provider Identifier
1366255929
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61596064 Issued in WA
Practice address
200 Triangle Center #270
Longview, WA 98632
Phone
(360) 501-3750
Fax
(360) 501-3755
NPI assigned
Jan 28, 2025
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61596064 WA Primary
Physical Therapist 225100000X 65568 OR

Addresses

Primary practice location

200 Triangle Center #270
Longview, WA 98632

Mailing address

1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440

Other practice location 1

1905 SE 192nd Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000249 WA Practitioner - Physical Therapist in Private Practice 0840711081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Motion PLLCGroup PAC ID 6103071014, 30 clinicians
PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

1905 SE 192ND Ave
Suite 109
Camas, WA 98607-7415
Phone (360) 210-5440

200 Triangle Ctr
Suite 270
Longview, WA 98632-4098
Phone (360) 501-3750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65568ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Motion, PLLC Physical Therapist CurrentSince Feb 27, 2025 Accepting new patients
Peacehealth CurrentSince Jan 14, 2026 Accepting new patients
Peacehealth Physical Therapist Past Accepting new patients

Locations

1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1366255929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 109",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415",
            "telephone_number": "360-210-5440",
            "fax_number": "360-210-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRIANGLE CENTER #270",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-501-3750",
            "fax_number": "360-501-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 SE 192nd Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986077415",
            "country_code": "US",
            "telephone_number": "360-210-5440",
            "fax_number": "360-210-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACFADDEN",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61596064",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.