Individual provider Active NPI

Sarah Hiscox, PTA

  • Physical Therapy Assistant
  • Chesterton, IN
National Provider Identifier
1487949749
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
99047492A Issued in IN
Practice address
1120 S Calumet Rd
Suite 3
Chesterton, IN 46304-3285
Phone
(219) 983-9675
Fax
(219) 983-9680
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 99047492A IN Primary

Addresses

Primary practice location

1120 S Calumet Rd
Suite 3
Chesterton, IN 46304-3285

Mailing address

1120 S Calumet Rd
Suite 3
Chesterton, IN 46304-3285
Phone (219) 983-9675

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

LicenseStateTypeSpecialty
99047492AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1487949749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S CALUMET RD",
            "address_2": "SUITE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043285",
            "telephone_number": "219-983-9675",
            "fax_number": "219-983-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S CALUMET RD",
            "address_2": "SUITE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043285",
            "telephone_number": "219-983-9675",
            "fax_number": "219-983-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOX",
        "first_name": "SARAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "99047492A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.