Individual provider Active NPI

Sarah A Parker, RPT

  • Physical Therapist
  • Forest, MS
National Provider Identifier
1457388530
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1174 Issued in MS
Practice address
813 W Third St
Forest, MS 39074-4006
Phone
(601) 469-1001
Fax
(601) 469-1009
NPI assigned
Jun 26, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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 PT1174 MS Primary

Addresses

Primary practice location

813 W Third St
Forest, MS 39074-4006

Mailing address

PO Box 426
Magee, MS 39111-0426
Phone (601) 849-6440

Other identifiers 2

IdentifierTypeStateIssuer
7877396OtherAETNA
0115993MedicaidMS

Other names 1

  • Sarah A McCarthy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000640 MS Practitioner - Physical Therapist in Private Practice 8325133119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2083 Therapy, LLCGroup PAC ID 4082976246, 11 clinicians

Practice addresses (Care Compare)

710 Main St
Collins, MS 39428-6292
Phone (601) 340-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1174MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
2083 Therapy, LLC Physical Therapist Current Accepting new patients
2083 Therapy, LLC CurrentSince Apr 27, 2020 Accepting new patients
2083 Therapy, LLC CurrentSince Apr 27, 2020 Accepting new patients
Enduracare Acute Care Services LLC Physical Therapist Past Accepting new patients
Medicomp, Inc. Physical Therapist Past Accepting new patients

Locations

710 Main St
Collins, MS 39428
Phone (601) 340-6872

710 Main St
Ste 10
Collins, MS 39428
Phone (601) 340-6872

1151 Highway 35 S
Forest, MS 39074
Phone (601) 469-2732

236 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 894-9004

357 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2734

Organizations & group practices 5

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1457388530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110426",
            "telephone_number": "601-849-6440",
            "fax_number": "601-849-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744006",
            "telephone_number": "601-469-1001",
            "fax_number": "601-469-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7877396",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115993",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MCCARTHY",
            "middle_name": "A",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.