Active NPI
Teresa Ann Sabotta, DPT
- Physical Therapist
- Iron River, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015310
- Practice address
- 1400 W Ice Lake Rd
Iron River, MI 49935-9526 - Phone
- (906) 265-9123
- Fax
- (906) 265-4335
- NPI assigned
- Feb 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11645 | WI | |
| Physical Therapist | 225100000X | 5501015310 | MI | Primary |
Addresses
Primary practice location
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Mailing address
155 Pine Landing Rd
Crystal Falls, MI 49920-9171
Phone (906) 367-6526
Other names 1
- Teresa Ann Colombino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11645 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
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.
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
dba Aspirus Iron River Clinic
- Rural Health Clinic/Center
- Iron River, MI
- NPI 1306344783
-
dba Aspirus Iron River Clinic
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1407357080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PINE LANDING RD",
"city": "CRYSTAL FALLS",
"state": "MI",
"postal_code": "499209171",
"telephone_number": "906-367-6526",
"fax_number": "906-265-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W ICE LAKE RD",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499359526",
"telephone_number": "906-265-9123",
"fax_number": "906-265-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOTTA",
"first_name": "TERESA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11645",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "COLOMBINO",
"middle_name": "ANN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.