Active NPI
Sarah E Poltrack, DPT
- Physical Therapist
- Charlottesville, VA
National Provider Identifier
1477230985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215838
- Practice address
- 285 Hydraulic Ridge Rd Ste 4
Charlottesville, VA 22901-8126 - Phone
- (434) 817-0980
- Fax
- (434) 817-0985
- NPI assigned
- Jun 28, 2023
- 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 | 2305215838 | VA | Primary |
Addresses
Primary practice location
285 Hydraulic Ridge Rd Ste 4
Charlottesville, VA 22901-8126
Mailing address
285 Hydraulic Ridge Rd Ste 4
Charlottesville, VA 22901-8126
Phone (348) 170-9804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
285 Hydraulic Ridge Rd
Charlottesville, VA 22901-8126
Phone (434) 817-0980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215838 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
285 Hydraulic Ridge Rd
Ste 4
Charlottesvle, VA 22901
Phone (434) 817-0980
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Charlottesville, VA
- NPI 1649337874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1477230985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 HYDRAULIC RIDGE RD STE 4",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018126",
"telephone_number": "348-170-9804",
"fax_number": "434-817-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 HYDRAULIC RIDGE RD STE 4",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018126",
"telephone_number": "434-817-0980",
"fax_number": "434-817-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLTRACK",
"first_name": "SARAH",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.