Individual provider Active NPI

Sarah M Wesner, PT, DPT

  • Physical Therapist
  • Cicero, NY
National Provider Identifier
1376899583
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033238-1 Issued in NY
Practice address
6112 Cobblestone Dr
Apartment I2
Cicero, NY 13039-9001
Phone
(607) 624-4304
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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 033238-1 NY Primary

Addresses

Primary practice location

6112 Cobblestone Dr
Apartment I2
Cicero, NY 13039-9001

Mailing address

6112 Cobblestone Dr
Apartment I2
Cicero, NY 13039-9001
Phone (607) 624-4304

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

LicenseStateTypeSpecialty
033238-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1376899583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 COBBLESTONE DR",
            "address_2": "APARTMENT I2",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399001",
            "telephone_number": "607-624-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 COBBLESTONE DR",
            "address_2": "APARTMENT I2",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399001",
            "telephone_number": "607-624-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESNER",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.