Individual provider Active NPI

Sarah Patricia Baddour, DPT

  • Physical Therapist
  • Reston, VA
National Provider Identifier
1457753899
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208990 Issued in VA
Practice address
1760 Reston Pkwy
Ste 403
Reston, VA 20190-3388
Phone
(703) 230-1760
Fax
(703) 230-1761
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 2305208990 VA Primary

Addresses

Primary practice location

1760 Reston Pkwy
Ste 403
Reston, VA 20190-3388

Mailing address

1760 Reston Pkwy
Ste 403
Reston, VA 20190-3388
Phone (703) 230-1760

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
26599MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1457753899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "STE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903388",
            "telephone_number": "703-230-1760",
            "fax_number": "703-230-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PKWY",
            "address_2": "STE 403",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903388",
            "telephone_number": "703-230-1760",
            "fax_number": "703-230-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDOUR",
        "first_name": "SARAH",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.