Individual provider Active NPI

Erin Rose Sierer, DPT

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1407048879
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11192 Issued in NC
Practice address
122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800
Phone
(910) 938-7555
Fax
(910) 938-7544
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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 11192 NC Primary

Addresses

Primary practice location

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800

Mailing address

PO Box 12909
New Bern, NC 28561-2909
Phone (252) 636-9800

Other names 1

  • Erin Rose Mullin Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. PastSince Jul 12, 2010 Accepting new patients
Havelock Peak Performance Sports & Physical Therapy, LLC Physical Therapist PastSince May 23, 2011 Accepting new patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist PastSince May 31, 2019 Accepting new patients

Organizations & group practices 3

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1407048879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12909",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612909",
            "telephone_number": "252-636-9800",
            "fax_number": "252-636-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERER",
        "first_name": "ERIN",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MULLIN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.