Active NPI
Sarah Brook Wenger, PT, DPT, OCS
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1417956137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011284L
- Practice address
- 245 N 15TH St
Ms 502
Philadelphia, PA 19102-1101 - Phone
- (215) 762-8962
- Fax
- (215) 762-3886
- NPI assigned
- Jul 14, 2005
- Last updated
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011284L | PA | Primary |
| Physical Therapist | 225100000X | DAPT000010 | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT011284L | PA |
Addresses
Primary practice location
245 N 15TH St
Ms 502
Philadelphia, PA 19102-1101
Mailing address
409 Monroe St
Philadelphia, PA 19147-3117
Phone (215) 762-8962
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2327296000 | Other | PA | AMERIHEALTH |
| 7855686 | Other | PA | AETNA PPO |
| 1650465 | Other | PA | HIGHMARK |
| 11361491 | Other | PA | CAQH |
| 2327296000 | Other | PA | IBC |
| 3694896 | Other | PA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAPT000010 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients | |
| Therapy Choice, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1101 Market St
Fl 10
Philadelphia, PA 19107
4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health Care Center 2
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1942317094
-
dba Phila Health Dept Laboratory
- Clinical Medical Laboratory
- Phila, PA
- NPI 1689688798
-
- Physical Therapist
- Newtown, PA
- NPI 1609887579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1417956137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 MONROE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191473117",
"telephone_number": "215-762-8962",
"fax_number": "215-762-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N 15TH ST",
"address_2": "MS 502",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021101",
"telephone_number": "215-762-8962",
"fax_number": "215-762-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "SARAH",
"middle_name": "BROOK",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011284L",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT000010",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT011284L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2327296000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7855686",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1650465",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11361491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2327296000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3694896",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.