Active NPI
Sarah A Oresko, PT
- Physical Therapist
- Valparaiso, IN
National Provider Identifier
1578650487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001631A
- Practice address
- 3028 Calumet Ave
Valparaiso, IN 46383-2640 - Phone
- (219) 477-6888
- Fax
- (219) 477-6804
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001631A | IN | Primary |
Addresses
Primary practice location
3028 Calumet Ave
Valparaiso, IN 46383-2640
Mailing address
3028 Calumet Ave
Valparaiso, IN 46383-2640
Phone (219) 477-6888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200936050 | Medicaid | IN | |
| 000000179153 | Other | IN | BCBS |
| 05001631A | Other | IN | LICENSE |
| 000000609142 | Other | IN | BC/BS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05001631A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1578650487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 CALUMET AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832640",
"telephone_number": "219-477-6888",
"fax_number": "219-477-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 CALUMET AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832640",
"telephone_number": "219-477-6888",
"fax_number": "219-477-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORESKO",
"first_name": "SARAH",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001631A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200936050",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000179153",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "05001631A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000609142",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.