Active NPI
Sara Brooke Winter, D.P.T.
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1467869206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9051722-2401
- Practice address
- 100 North Mario Capecchi Drive
Inpatient Therapy Primary Children'S Hospital
Salt Lake City, UT 84113 - Phone
- (801) 821-6613
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9051722-2401 | UT | Primary |
Addresses
Primary practice location
100 North Mario Capecchi Drive
Inpatient Therapy Primary Children'S Hospital
Salt Lake City, UT 84113
Mailing address
11925 South 2997 West
Riverton, UT 84065
Phone (801) 821-6613
Other names 1
- Sara Whitehead
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9051722-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1467869206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 SOUTH 2997 WEST",
"city": "RIVERTON",
"state": "UT",
"postal_code": "84065",
"telephone_number": "801-821-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH MARIO CAPECCHI DRIVE",
"address_2": "INPATIENT THERAPY PRIMARY CHILDREN'S HOSPITAL",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-821-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "SARA",
"middle_name": "BROOKE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9051722-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "WHITEHEAD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.