Sareta Marie Coubarous, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB08055900 Issued in NJ

Practice address

610 York Rd Ste 400
Jenkintown, PA 19046-2866

Phone

(215) 531-0132

Fax

(215) 887-3869

NPI assigned

Apr 6, 2006

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Abington Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Warminster, PA
  • NPI 1881864635
  Medicare reassignment NPD
• Allied Medical Associates, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lansdowne, PA
  • NPI 1790979524
  Medicare reassignment NPD
• Merakey Parkside Recovery

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1881716223
  Medicare reassignment NPD
• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1073636866
  Medicare reassignment NPD
• Merion Square Road Medical PC

  dba Override

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1942923123

  PA

  Medicare reassignment NPD
• Merakey Parkside Recovery

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1194468413
  NPD
• Merakey Parkside Recovery

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1780808493
  NPD
• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1982727772
  NPD
• Lyceum Chiropractic, P.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1447416250
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1558323196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866",
            "telephone_number": "215-531-0132",
            "fax_number": "215-887-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YORK RD STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462866",
            "telephone_number": "215-531-0132",
            "fax_number": "215-887-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUBAROUS",
        "first_name": "SARETA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB08055900",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08055900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "136099ZAJ",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "136105ZACG",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Collins Cook, MA
• Krystiane Marie Cooper, LCSW
• Corevista Health LLC
• Cornerstone Caregiving East LLC
• Sanul Corrielus, MD
• Steven I Cowan, DO
• Jerome Crawford II, DPT, M.S.
• Eric Cray, D.M.D.
• Lisa Dorothy Crayton, COTA
• Gayle Diamond Crespy, PSY.D.

• Physical Medicine & Rehabilitation Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.