Individual provider Active NPI

Sara Gianas, DPT, HHP, FAFS, CSCS

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1518236256
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36849 Issued in CA
Practice address
3402 Tarawa Rd
San Diego, CA 92155-5003
Phone
(619) 537-4112
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 36849 CA
Physical Therapist 225100000X 36849 CA Primary

Addresses

Primary practice location

3402 Tarawa Rd
San Diego, CA 92155-5003

Mailing address

3402 Tarawa Rd
San Diego, CA 92155-5003
Phone (619) 537-4112

Other identifiers 1

IdentifierTypeStateIssuer
36849MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.cates.ctr@socom.mil Health Information Exchange (HIE)

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
36849CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab United Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rehab United Sports Medicine & Physical Therapy, Inc. 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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1518236256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 TARAWA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555003",
            "telephone_number": "619-537-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 TARAWA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555003",
            "telephone_number": "619-537-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANAS",
        "first_name": "SARA",
        "credential": "DPT, HHP, FAFS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "36849",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36849",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.cates.ctr@socom.mil",
            "affiliation": "N",
            "endpointDescription": "Sports Medicine CLinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3402 Tarawa Rd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921555003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.