Individual provider Active NPI

Mary Kathleen Sawert, P.T.

  • Physical Therapist
  • Camp Verde, AZ
National Provider Identifier
1477617983
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1495 Issued in AZ
Practice address
3708 E Ripple Rd
Camp Verde, AZ 86322-8102
Phone
(212) 947-7039
NPI assigned
Dec 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 1495 AZ Primary

Addresses

Primary practice location

3708 E Ripple Rd
Camp Verde, AZ 86322-8102

Mailing address

3708 E Ripple Rd
Camp Verde, AZ 86322-8102
Phone (212) 947-7039

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
024544NYMDClinical Psychologist
1495AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fun Fitness Physical Therapy PC Physical Therapist Past Accepting new patients
Blue Heron Physical Therapy PC Physical Therapist PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477617983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 E RIPPLE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863228102",
            "telephone_number": "212-947-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 E RIPPLE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863228102",
            "telephone_number": "212-947-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWERT",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.