Individual provider Active NPI

Sarah K Zamora, DPT

  • Physical Therapist
  • Prineville, OR
National Provider Identifier
1366948614
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64700 Issued in OR
Practice address
1590 NE 3Rd St Ste B
Prineville, OR 97754-2916
Phone
(541) 416-7476
Fax
(541) 416-7478
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 64700 OR Primary

Addresses

Primary practice location

1590 NE 3Rd St Ste B
Prineville, OR 97754-2916

Mailing address

805 SW Industrial Way Ste 3
Bend, OR 97702-1093

Other practice location 1

428 S Hayes Ave
Pocatello, ID 83204-3309
Phone (208) 870-8873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006003569 OR Practitioner - Physical Therapist in Private Practice 2769868272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Physical Therapy Limited PartnershipGroup PAC ID 4880990753, 38 clinicians

Practice addresses (Care Compare)

1342 NE Medical Ctr Dr
Suite 150
Bend, OR 97701-5919
Phone (541) 382-7875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64700ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 7, 2022 Accepting new patients

Locations

1303 NE Cushing Dr
Ste 150
Bend, OR 97701
Phone (541) 382-7875

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

1590 NE 3rd St
Ste 2
Prineville, OR 97754
Phone (541) 416-7476

1590 NE 3rd St
Ste B
Prineville, OR 97754
Phone (541) 416-7476

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

Organizations & group practices 2

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1366948614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NE 3RD ST STE B",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977542916",
            "telephone_number": "541-416-7476",
            "fax_number": "541-416-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832043309",
            "country_code": "US",
            "telephone_number": "208-870-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "SARAH",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.