Active NPI
Sara Beth Detweiler, DPT
- Physical Therapist
- Lebanon, OR
National Provider Identifier
1366758013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6245
- Practice address
- 525 N Santiam Hwy
Physical Therapy and Rehab Medicine
Lebanon, OR 97355-4363 - Phone
- (541) 258-2101
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6245 | SC | Primary |
Addresses
Primary practice location
525 N Santiam Hwy
Physical Therapy and Rehab Medicine
Lebanon, OR 97355-4363
Mailing address
PO Box 455
Apt. 2I
Folly Beach, SC 29439-0455
Phone (660) 349-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6245 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1366758013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 455",
"address_2": "APT. 2I",
"city": "FOLLY BEACH",
"state": "SC",
"postal_code": "294390455",
"telephone_number": "660-349-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N SANTIAM HWY",
"address_2": "PHYSICAL THERAPY AND REHAB MEDICINE",
"city": "LEBANON",
"state": "OR",
"postal_code": "973554363",
"telephone_number": "541-258-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWEILER",
"first_name": "SARA",
"middle_name": "BETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.