Individual provider Active NPI

Sarah Boston, PT, DPT

  • Physical Therapist
  • Evans Mills, NY
National Provider Identifier
1427457670
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037937 Issued in NY
Practice address
26908 Independence Way # 201
Evans Mills, NY 13637-3300
Phone
(315) 629-6255
NPI assigned
Aug 13, 2014
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 037937 NY
Physical Therapist 225100000X 037937 NY Primary
Physical Therapist 225100000X P15183 NC

Addresses

Primary practice location

26908 Independence Way # 201
Evans Mills, NY 13637-3300

Mailing address

26908 Independence Way # 201
Evans Mills, NY 13637-3300
Phone (315) 629-6255

Other practice location 1

1289 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-8331

Other names 1

  • Dr. Sarah Blackman 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

State licenses

LicenseStateTypeSpecialty
P15183NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Developmental Therapy Past Accepting new patients
Pediatric Developmental Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1427457670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY # 201",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-629-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 INDEPENDENCE WAY # 201",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373300",
            "telephone_number": "315-629-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1289 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044450",
            "country_code": "US",
            "telephone_number": "910-483-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "037937",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037937",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BLACKMAN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.