Active NPI
Sally E Artz, PTA
- Physical Therapy Assistant
- Barry, IL
National Provider Identifier
1376138362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160004031
- Practice address
- 1313 Pratt St
Barry, IL 62312-1365 - Phone
- (217) 335-2326
- NPI assigned
- Mar 2, 2021
- 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 Therapy Assistant | 225200000X | 160004031 | IL | Primary |
Addresses
Primary practice location
1313 Pratt St
Barry, IL 62312-1365
Mailing address
1313 Pratt St
Barry, IL 62312-1365
Phone (217) 335-2326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160004031 | Other | IL | PTA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sartz@selectrehab.com |
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 |
|---|---|---|---|
| 160004031 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1376138362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 PRATT ST",
"city": "BARRY",
"state": "IL",
"postal_code": "623121365",
"telephone_number": "217-335-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 PRATT ST",
"city": "BARRY",
"state": "IL",
"postal_code": "623121365",
"telephone_number": "217-335-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTZ",
"first_name": "SALLY",
"middle_name": "E",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160004031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSE",
"identifier": "160004031",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sartz@selectrehab.com",
"affiliation": "N",
"address_1": "1313 Pratt St",
"city": "Barry",
"state": "IL",
"country_code": "US",
"postal_code": "623121365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Barry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.