Individual provider Active NPI

Sara Victoria Walker, DPT

  • Physical Therapist
  • Gainesville, VA
National Provider Identifier
1407348402
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305211490 Issued in VA
Practice address
7560 Gardner Park Dr
Gainesville, VA 20155-3414
Phone
(703) 753-1005
Fax
(703) 753-2207
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 2305211490 VA Primary

Addresses

Primary practice location

7560 Gardner Park Dr
Gainesville, VA 20155-3414

Mailing address

7560 Gardner Park Dr
Gainesville, VA 20155-3414
Phone (703) 753-1005

Other names 1

  • Sara Victoria Vande Ryt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180927003085 VA Practitioner - Physical Therapist in Private Practice 2163773284 Reassigns benefits to 1 organization
I20221005000775 DC Practitioner - Physical Therapist in Private Practice 2163773284
I20230804003388 DE Practitioner - Physical Therapist in Private Practice 2163773284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20268 Plantations Rd B
Lewes, DE 19958-4622
Phone (302) 727-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Sports Performance Limited Partnership CurrentSince Jun 26, 2023 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Sep 8, 2022 Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
PT Solutions, LLC Physical Therapist Current Accepting new patients
PT Solutions, LLC CurrentSince Feb 24, 2020 Accepting new patients

Locations

20268 Plantations Rd
Ste B
Lewes, DE 19958
Phone (302) 449-2048

1050 Industrial Dr
Ste 210
Middletown, DE 19709

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

10260 Main St
Fairfax, VA 22030
Phone (571) 279-6844

7560 Gardner Park Dr
Gainesville, VA 20155
Phone (703) 468-1002

106 W Stuart Dr
Galax, VA 24333
Phone (276) 238-8900

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

1420 Spring Hill Rd
Ste 202
Mc Lean, VA 22102
Phone (571) 765-1730

Organizations & group practices 6

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1407348402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-753-1005",
            "fax_number": "703-753-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 GARDNER PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-753-1005",
            "fax_number": "703-753-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SARA",
        "middle_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "VANDE RYT",
            "middle_name": "VICTORIA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.