Individual provider Active NPI

Sarah Irene Proulx, DPT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1487919791
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207480 Issued in VA
Practice address
733 Volvo Pkwy
Suite 100
Chesapeake, VA 23320-1609
Phone
(757) 226-9935
Fax
(757) 436-0781
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 2305207480 VA Primary

Addresses

Primary practice location

733 Volvo Pkwy
Suite 100
Chesapeake, VA 23320-1609

Mailing address

230 Clearfield Ave
Suite 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3383

Other identifiers 1

IdentifierTypeStateIssuer
C05501OtherVAMEDICARE GROUP

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1487919791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE",
            "address_2": "SUITE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 VOLVO PKWY",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201609",
            "telephone_number": "757-226-9935",
            "fax_number": "757-436-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROULX",
        "first_name": "SARAH",
        "middle_name": "IRENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C05501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.