Active NPI
Sarah Fellers
- Physical Therapy Assistant
- Bella Vista, AR
National Provider Identifier
1386022952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2004030108
- Practice address
- 26 Lancaster Dr
Bella Vista, AR 72715-5399 - Phone
- (417) 294-5258
- NPI assigned
- May 14, 2015
- 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 | 2004030108 | MO | Primary |
Addresses
Primary practice location
26 Lancaster Dr
Bella Vista, AR 72715-5399
Mailing address
26 Lancaster Dr
Bella Vista, AR 72715-5399
Phone (417) 294-5258
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 |
|---|---|---|---|
| 2004030108 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1386022952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LANCASTER DR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727155399",
"telephone_number": "417-294-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 LANCASTER DR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727155399",
"telephone_number": "417-294-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLERS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2004030108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.