Individual provider Active NPI

Sarah Greenhagen, DPT

  • Specialist
  • Sandwich, IL
National Provider Identifier
1447684113
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
070020085 Issued in IL
Practice address
710 E Railroad St
Sandwich, IL 60548
Phone
(815) 313-6333
Fax
(815) 417-6921
NPI assigned
Aug 29, 2013
Last updated
May 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 070020085 IL Primary

Addresses

Primary practice location

710 E Railroad St
Sandwich, IL 60548

Mailing address

710 E Railroad St
Sandwich, IL 60548-2250
Phone (815) 313-6333

Other practice location 1

101 S Main St
Sandwich, IL 60548-2172
Phone (815) 786-9291 ext. 2

Other practice location 2

1310 N Main St
Suite 100
Sandwich, IL 60548-1394
Phone (815) 786-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415000189 IL Practitioner - Physical Therapist in Private Practice 2860624483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Northern Illinois UniversityGroup PAC ID 2860440195, 10 clinicians
Catalyst Physiotherapy, Performance, and Wellness LLCGroup PAC ID 0042591000, 2 clinicians

Practice addresses (Care Compare)

3100 Sycamore Rd
Dekalb, IL 60115-9621
Phone (815) 753-1481

710 E Railroad St
Suite B
Sandwich, IL 60548-2606
Phone (815) 793-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070020085ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois University Current Accepting new patients
Northern Illinois University CurrentSince Apr 11, 2024 Accepting new patients
Catalyst Physiotherapy, Performance, & Wellness LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

103 E Wilson St
Batavia, IL 60510
Phone (815) 313-6333

3100 Sycamore Rd
DeKalb, IL 60115
Phone (815) 752-2675

101 S Main St
Sandwich, IL 60548
Phone 8157869291 ext. 2

710 E Railroad St
Sandwich, IL 60548
Phone (815) 313-6333

710 E Railroad St
Ste B
Sandwich, IL 60548
Phone (815) 313-6333

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.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1447684113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E RAILROAD ST",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482250",
            "telephone_number": "815-313-6333",
            "fax_number": "815-417-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E RAILROAD ST",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "60548",
            "telephone_number": "815-313-6333",
            "fax_number": "815-417-6921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605482172",
            "country_code": "US",
            "telephone_number": "815-786-9291 x2",
            "fax_number": "815-417-6921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 N Main St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605481394",
            "country_code": "US",
            "telephone_number": "815-786-6000",
            "fax_number": "815-570-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENHAGEN",
        "first_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070020085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.